Abstract | BACKGROUND: METHODS: Fifty patients scheduled to undergo CRS and HIPEC were enrolled in the study. The patients in group IV (Intravenous) received a bolus dose of 1.5 mg/kg lignocaine over 15 min, starting approximately 15 min before the surgical incision and fentanyl 0.5 mcg/kg, about 2 min before the surgical incision, following which patient received lignocaine infusion at 1 mg/kg/hr and fentanyl infusion at 0.5 mcg/kg/hr intraoperatively. Patients in group EPI (Epidural) received 6 mL of Ropivacaine 0.2% and fentanyl (2mcg/mL) approximately 15 min before surgical incision, followed by continuous infusion at the rate of 5 mL/hr. The procedure for induction and maintenance of anesthesia was standardized for both groups. In the postoperative period, the infusion of analgesics was reduced to half the intraoperative rates and continued for 24 h. RESULTS: Demographic profile and clinical parameters were comparable between both groups (p > 0.05). There was no difference between the number of fentanyl doses given in the IV group [Langenbecks Arch Chir 373(3):189-196, 4, IQR (2-11)] and the EPI group [Reg Anesth Pain Med 35(4):370-376, 12, IQR (5-21)] in the postoperative period (p = 0.229). The need for intraoperative rescue analgesia was comparable among the groups (p = 0.882). CONCLUSION: TRIAL REGISTRATION NUMBER: CTRI/2020/08/027052 dated 09/08/2020.
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Authors | Kiran Mahendru, Rakesh Garg, Sachidanand Jee Bharati, Vinod Kumar, Nishkarsh Gupta, Seema Mishra, Sushma Bhatnagar, Mukurdipi Ray, Suryanarayana Deo |
Journal | Langenbeck's archives of surgery
(Langenbecks Arch Surg)
Vol. 408
Issue 1
Pg. 330
(Aug 24 2023)
ISSN: 1435-2451 [Electronic] Germany |
PMID | 37615724
(Publication Type: Randomized Controlled Trial, Journal Article)
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Copyright | © 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. |
Chemical References |
- Ropivacaine
- Fentanyl
- Lidocaine
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Topics |
- Humans
- Infusions, Intravenous
- Cytoreduction Surgical Procedures
- Ropivacaine
- Hyperthermic Intraperitoneal Chemotherapy
- Fentanyl
- Lidocaine
- Prospective Studies
- Surgical Wound
- Analgesia, Epidural
- Neoplasms
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