Abstract

THE PERI-OPERATIVE INFILTRATION OF LIDOCAINE TO PAIN RELIEF POSTOPERATIVE IN LAPAROSCOPIC CHOLECYSTECTOMY AT MEDICAL CITY/BAGHDAD'S AL-SHAHEED GAZI AL-HARERI TEACHING HOSPITAL

Ali I. Omran Al-Saadawi* and Saad Abdul Kareem Mohammed

ABSTRACT

Objective: The study aimed to determine whether an initial infusion of intravenous Lidocaine could minimise postoperative painkiller usage following laparoscopic cholecystectomy. Methods: A total of 98 patients scheduled for elective laparoscopic cholecystectomy were enrolled and randomly assigned. The experimental group was given an additional intravenous infusion of Lidocaine (bolus 1.5 mg/kg and continuous infusion 2 mg/kg/h) in addition to standard analgesia. In comparison, the control group received a placebo. Both the patient and the investigator were blinded. Results: According to our research, there was no appreciable benefit to using opioids during the recovery period. Systolic, diastolic, and mean arterial pressures were all lowered during surgery as a result of the administration of lidocaine, however. It was found that the administration of lidocaine had no effect on theprevalence of shoulder pain at any given time or on postoperative pain levels. Conclusion: Postoperative analgesia following laparoscopic cholecystectomy was shown to be unaffected by lidocaine.

Keywords: Peri-operative infiltration of lidocaine, postoperative in laparoscopic cholecystectomy.