RESUMO
Objective: adult patients undergoing thoracotomy for lobectomy have been studied for post-operative pain management in the Intensive Care Unit of Cardio-thoracic Department, PGMILRH, and Peshawar
Material and Methods: 40 patients were divided in two groups, each comprising of 20 patients. Patients in both groups "A" and "B" were comparable in age and procedure and had received the same pre-medication and anasthesia. Patients in-group "A" received boluses of LV. Morphine 3 mg 4-6 hourly while patients in group "B" received pre-incisional Bupivacaine 0.25% via intercostal infiltration which was repeated 12 hourly, group "B" also received W Morphine when severity of pain demanded so. Pain was scored using Visual Analogue Score [VAS]. Patients were nursed I.C.U. propped up in beds receiving 5 L of humidified 02. Study period extended over 48 hours
Results: mean Morphine consumption in-group "A" was 36 mg [range 35-37 mg] while in-group "B" it was 23 mg [range 20-25 mg]
Conclusion: in conclusion patients of Bupivacaine group consumed less Morphine [36.1%] preserving good oxygenation, and pulmonary functions