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खुला एक्सेस

अमूर्त

ASSESSMENT OF POST OPERATIVE ANALGESIA IN MODIFIED RADICAL MASTECTOMY PATIENTS USING SURGICAL WOUND IRRIGATION WITH 0.25% BUPIVACAINE

MUHAMMED SHAFI C

This study was a longitudinal observational study done in the department of anaesthesiology, MES medical college, perinthalmanna. The study was conducted among patients undergoing modified radical mastectomy, a total of 30 patients were included in the study. The ASA grading was done on the patient pre-op and 5 patients were in grade 1 (a normal healthy patient) and 20 patients in grade 2 (a patient with mild systemic disease) and 5 patients in grade 3. The MPC score was done on the patient pre-op and 9 patients were in class I, followed by class 2 in 13 patients and class 3 in 8 patients. The VAS Score at intervals of six hours showed that the score of zero was fluctuating over the hours and number of people with it increased at 24 hours. Rest of the values also improved. At 12 hours there were more people with 4,5 and 6 VAS scores. Duration of surgery ranged from 130 to 195 minutes, with a mean of 160.5 minute. Only one patient complained of PONV. The difference between mean operation time for those who requires rescue analgesia and those who did not was not statistically significant. There was no significant association between need for rescue analgesia and mallampati class, ASA grading, PONV, age of the patients and VAS score. There was no significant association between VAS score and age of the patients, MPC class, ASA grade, number of rescue analgesia demands and post-operative nausea and vomiting.