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Anesthesiology Research and Practice
Volume 2010 (2010), Article ID 542375, 7 pages
http://dx.doi.org/10.1155/2010/542375
Clinical Study

Analgesic Efficacy of Pfannenstiel Incision Infiltration with Ropivacaine 7.5 mg/mL for Caesarean Section

1Department of Anaesthesia and Intensive Care, Victor Dupouy Hospital, 95107 Argenteuil, France
2Department of Obstetrics and Gynaecology, Victor Dupouy Hospital, 95107 Argenteuil, France

Received 2 February 2010; Revised 15 April 2010; Accepted 15 June 2010

Academic Editor: Alex Macario

Copyright © 2010 N. K. Nguyen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Pain after Caesarean delivery is partly related to Pfannenstiel incision, which can be infiltrated with local anaesthetic solutions. Methods. A double- blind randomized control trial was designed to assess the analgesic efficacy of 7.5 mg/mL ropivacaine solution compared to control group, in two groups of one hundred and forty four parturients for each group, who underwent Caesarean section under spinal anaesthesia: group R (ropivacaine group) and group C (control group). All parturients also received spinal sufentanil (2.5  𝜇 g). Results. Ropivacaine infiltration in the Pfannenstiel incision for Caesarean delivery before wound closure leads to a reduction of 30% in the overall consumption of analgesics (348 550 mg for group R versus 504 426 mg for group C with 𝑃 < . 0 5 ), especially opioids in the first 24 hours, but also significantly increases the time interval until the first request for an analgesic (4 h 20 min ± 2 h 26 for group R versus 2 h 42 ± 1 h 30 for group C). The P values for the two groups were: 𝑃 < . 0 0 0 1 for paracetamol, 𝑃 < . 0 0 0 1 for ketoprofen and P for nalbuphine which was the most significant. There is no significant difference in the threshold of VAS in the two series. Conclusion. This technique can contribute towards a programme of early rehabilitation in sectioned mothers, with earlier discharge from the post-labour suite.