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Effect of intraperitoneal magnesium sulfate in the prevention of postoperative pain in daycare laparoscopic cholecystectomy – A prospective randomized controlled trial

Title: Effect of intraperitoneal magnesium sulfate in the prevention of postoperative pain in daycare laparoscopic cholecystectomy – A prospective randomized controlled trial
Authors: Sravanthi, Gorle Chaitanya; Abuji, Kishore; Soni, Shiv Lal; Nagaraj, Satish Subbiah; Sharma, Akhilesh; Jafra, Anudeep; Tandup, Cherring; Kurdia, Kailash Chand; Dahiya, Divya
Source: Indian Journal of Pharmacology ; volume 55, issue 3, page 174-178 ; ISSN 0253-7613
Publisher Information: Medknow
Publication Year: 2023
Description: This study evaluated the efficacy of intraperitoneal magnesium sulfate (MgSO 4 ) in preventing postoperative pain after elective laparoscopic cholecystectomy (LC). It is a prospective, double-blinded, placebo-controlled, randomized trial which included 64 patients who underwent LC. Patients were equally randomized into Groups A and B. MgSO 4 and normal saline were instilled in subdiaphragmatic space in Groups A and B, respectively, after creating pneumoperitoneum and before starting dissection. The Visual analogue Scale (VAS) was used to determine postoperative pain. Patients who received intraperitoneal MgSO 4 had lower average VAS scores for the first 6 h postoperatively, and also, the time for the requirement of first analgesic was longer (3.6 ± 0.4 vs. 2.3 ± 1.0 h). The incidence of vomiting and the requirement for rescue antiemetic was also lower in Group A. Intraperitoneal instillation of MgSO 4 reduces postoperative pain and vomiting following elective LC without incurring additional side effects.
Document Type: article in journal/newspaper
Language: English
DOI: 10.4103/ijp.ijp_827_22
Availability: https://doi.org/10.4103/ijp.ijp_827_22; https://journals.lww.com/10.4103/ijp.ijp_827_22
Accession Number: edsbas.8DE1DAA3
Database: BASE