EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (Under Process) , 

 ISSN 2394-3211

Impact Factor: 4.897

 ICV - 79.57

Abstract

OPEN INTRAOPERATIVE RETROPLEURAL PERINEURAL INJECTION OF BUPIVACAINE FOR POST OPERATIVE PAIN MANAGEMENT IN THORACIC SURGERY

Dr. P. A. Kamble, Dr. Mayuri Kamble, Dr. A. T. Kamble, *Dr. Aditya Mehta and Dr. Bindesh Dube

ABSTRACT

Total 27 cases of pulmonary and pleural pathology were selected and were subjected to surgery by open thoracotomy method, which requires greater exposure for approach to the pathology. It is therefore achieved by a large incision on the thorax maybe by intercostal approach or by rib resection. A drug was selected and after the completion of the procedure was injected retropleurally perineurally, along the site of the incision taking care not to inject in the blood vessel. After completion of the surgery, injection bupivacaine was administered as per the procedure laid down and the patient was assessed for the effect of the analgesia. After surgery, patient was shifted to the intensive care unit for pain management and it is observed that the patient has complete analgesia and promotes deep respiration and limits the blood loss and the air entry improved. Follow up was done by a continuous monitoring for pain. The patient was shifted to the ward after all the parameters stabilised. So, bupivacaine is a drug which requires a smaller dose and delivers maximum effect. Patient was discharged on the tenth day depending upon their recovery without any functional incapacitation.

Keywords: Bupivacaine, Perineural injection, Thoracotomy.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (Under Process)