A COMPARATIVE STUDY SHOWING EFFICACY OF PREEMPTIVE INTRAVENOUS PARACETAMOL IN REDUCING POSTOPERATIVE PAIN AND ANALGESIC REQUIREMENT IN LAPAROSCOPIC CHOLECYSTECTOMY.

CORRESPONDING AUTHOR:
Mushtaq Ahmad Rather.
Senior Resident,
Department of Anaesthesiology and
Critical Care, GMC, Srinagar-190006.
E-mail: mushtaqahmad767@gmail.com

ABSTRACT: A double blind, prospective, randomized study was conducted on 60 patients of ASA I and II undergoing laparoscopic cholecystectomy to evaluate the efficacy of pre-emptive IV paracetamol [PCM] in reducing postoperative pain and analgesic requirement. Patients were randomly assigned in two groups, group A and group B of which group A received pre-emptive IV PCM 10 minutes before skin incision. It was observed that time to first analgesic required was significantly longer in group A as compared to group B and group A had significantly lower total analgesic consumption and visual analogue scores (VAS) as compared to group B.  We concluded that pre-emptive use of IV PCM (Paracetamol) in laparoscopic cholecystectomy significantly decreases postoperative pain and analgesic requirement.

KEYWORDS: IV PCM, postoperative pain and analgesia, laparoscopic cholecystectomy, tramadol.