POST-OPERATIVE PAIN RELIEF FOR LOWER ABDOMINAL SURGERY

COMPARISON BETWEEN EXTRADURAL BUPRENORPHINE AND PARENTERAL BUPRENORPHINE

Abstract

The severity of post-operative pain and the lack of efforts in relieving
it have led to the involvement of Anaesthesiologists in the management of post-operative and acute pain. Parenteral
opiates have been utilized for post-operative pain management. The identification of the opioid receptors on substantia
gelatinosa has provided an alternate route i.e 1 the epidural route - for administering opiates. Objectives: To evaluate
and compare the efficacy and side effects of parenteral Buprenorphine with those of Extradural Buprenorphine.
Setting: Department of Anaesthesia, District Headquarter Hospital, Faisalabad. Period: The data was collected during
the last three and a half years. Materials and Methods: Sixty adult patients of either sex and ages ranging from 35-45
years, who underwent lower abdominal surgery, were randomly selected for the study. They were equally divided into
two groups. Group I patients were administered Buprenorphine 0.3 mg through the epidural catheter in extradural
space. Group II patients were given Buprenorphine 0.3 mg intramuscularly. Results: Buprenorphine through the
epidural route gives better analgesia with fewer side effects as compared with the parenteral route.