This study is aimed to determine the post operative pain after laparoscopic cholecystectomy by dividing patients into three different group. Group A will receive lidocaine 2mg/kg bolus at induction followed by 1.5mg/kg/hr infusion. Group B will receive bilateral subcostal TAP block with 0.375% 20ml Ropivicaine on each side. Group C will not receive any additional pain regime apart from the routine intraoperative analgesics. Pain score will be assessed post operatively for 24 hours at regular intervals using visual analog score.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
90
Bolus and infusion of lidocaine will be administered
Bilateral TAP block will be given to these patients
Aga Khan University Hospital
Karachi, Sindh, Pakistan
Pain score
Pain score will be assessed using visual analog scoring system (0: No pain and 10: Worst Imaginable Pain)
Time frame: On arrival in PACU (0 hours)
Pain score
Pain score will be assessed using visual analog scoring system (0: No pain and 10: Worst Imaginable Pain)
Time frame: At 2 hours
Pain score
Pain score will be assessed using visual analog scoring system (0: No pain and 10: Worst Imaginable Pain)
Time frame: At 4 hours
Pain score
Pain score will be assessed using visual analog scoring system (0: No pain and 10: Worst Imaginable Pain)
Time frame: At 6 hours
Pain score
Pain score will be assessed using visual analog scoring system (0: No pain and 10: Worst Imaginable Pain)
Time frame: At 12 hours
Pain Score
Pain score will be assessed using visual analog scoring system (0: No pain and 10: Worst Imaginable Pain)
Time frame: At 24 hours
Post operative nausea and vomiting
Nausea and vomiting score would be assess using Bellville scoring system (0: No nausea or vomiting, 1: nausea, 2: nausea and belching, 3: vomiting)
Time frame: On arrival, At 2 hours, 4 hours, 6 hours, 12 hours and 24 hours
Patient Satisfaction
Patient satisfaction will be assessed on Likert Scale (Completely Disagree, Disagree, Neutral, Agree, Completely Agree)
Time frame: At 24 hours or discharge
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