Comparison of Intravenous Lidocaine versus Dexmedetomidine on Postoperative Pain and Analgesic Consumption after Gynecological Abdominal Surgery

Moazzam Ali; Shazia  Nayyar; Maliha  Khawar; Ehsan  Zafar; Muhammad Jalil  Malik; Sanum  Kashif

doi:10.51253/pafmj.v75iSUPPL-1.11629

Authors

Moazzam Ali Department of Anesthesia, Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Pakistan
Shazia Nayyar Department of Gynae & Obs, Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Pakistan
Maliha Khawar Department of Gynae & Obs, Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Pakistan
Ehsan Zafar Department of Anesthesia, Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Pakistan
Muhammad Jalil Malik Department of Surgery, Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Pakistan
Sanum Kashif Department of Anesthesia, Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75iSUPPL-1.11629

Keywords:

Analgesia, Dexmedetomidine, Gynecological surgery, Lidocaine, Post-operative pain,Visual analogue score.

Abstract

Objectives: To determine the analgesic efficacy of intravenous dexmedetomidine versus lidocaine for post-operative pain in patients undergoing abdominal gynaecological surgeries.

Study Design: Quasi experimental study

Place and Duration of Study: Department of Anesthesia/Pain Medicine, Combined Military Hospital Lahore from May 2023 – October 2023.

Methodology: Sixty patients undergoing gynaecological surgeries under general anaesthesia were included in the study. Patients in Group D were given intraoperative dexmedetomidine while those in Group L were given lidocaine. The primary outcome was the pain score measured by the Visual analogue score at three, six, twelve and twenty fours following the procedure. The secondary outcome was the amount of tramadol in milligrams that was consumed for pain relief.

Results: In both groups, the mean pain score remained 5 or less over 24 hours. Median(IQR) pain score after 3 hour was 3(2) in Group D while it was 3(2) in Group L. After 6 hours it was recorded as 4(2) in Group D and 4(3) in Group L. At 12 hours it was recorded as 3.5(2.25) in Group D and 4(3) in Group L. Last reading was taken 24 hours after the procedure and it showed a mean pain score of 4(2.5) in Group D and 4(3) in Group L. Total mean Tramadol consumption in group D was 121.67±67.83 mg and 132.5±62.68 mg in Group L.

Conclusion: In conclusion, both drugs are equally effective in the management of post-operative pain in the first 24 hours of gynecoloical surgery.

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