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Ropivacaine Hydrochloride Instillation vs Parenteral Analgesia (Tramadol)
of intravenous tramadol injection. Similar results were 5. Anand S, Bajwa SJS, Kapoor BB, Jitendera M, Gupta H.
13
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obtained by Kucuk et al, Trikoupi et al, and Gupta et al. 10 Comparative evaluation of intraperitoneal bupivacaine,
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analgesia in patients undergoing laparoscopic cholecystec-
CONCLUSION tomy. Niger J Surg Sci 2014 Jul-Dec;24(2):42-48.
6. Kehlet H, Dahl JB. Anaesthesia, surgery and challenges in
Intraperitoneal ropivacaine instillation reduced post- postoperative recovery. Lancet 2003 Dec 6;362(9399):1921-1928.
operative abdominal pain and shoulder pain signifi- 7. Guignard B, Bossard AE, Coste C, Sessler DI, Lebrault C,
cantly in comparison to postoperative tramadol injection, Alfonsi P, Fletcher D, Chauvin M. Acute opioid tolerance:
reflected on the number of rescue postoperative intraoperative remifentanil increases postoperative pain
analgesia doses which was significantly lower with and morphine requirement. Anesthesiology 2000 Aug;93(2):
409-417.
intraperitoneal ropivacaine. At the same time, it lowers 8. Joris J, Thiry E, Paris P, Weerts J, Lamy M. Pain after laparoscopic
significantly postoperative nausea and vomiting result- cholecystectomy: characteristics and effect of intraperitoneal
ing from either postoperative pain or tramadol injec- bupivacaine. Anaesth Analg 1995 Aug;81(2):379-384.
tion, but does not affect significantly the duration of 9. Singh A, Mathur SK, Shukla VK. Postoperative analgesia with
hospital stay. intraperitoneal ropivacaine with and without fentanyl after
laparoscopic cholecystectomy: a randomized double-blind
controlled trial. Anaesthetics 2013 May1;1(1):9
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