Vibration sense testing to determine timing for analgesics in post operative pain relief

Aim of this study was to study the vibration sense testing with 128 Hz tuning fork as a tool to determine timing for analgesic in post operative pain relief in 60 male patients who underwent inguinal herniorrhaphy under subarachnoid block (SAB). After evaluating the time interval of recovery of vibr...

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Main Authors: Dilip Kothari, Amrita Mehrotra, Abhitab Saggar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2007-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access:http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=3;spage=216;epage=219;aulast=Kothari
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author Dilip Kothari
Amrita Mehrotra
Abhitab Saggar
author_facet Dilip Kothari
Amrita Mehrotra
Abhitab Saggar
author_sort Dilip Kothari
collection DOAJ
description Aim of this study was to study the vibration sense testing with 128 Hz tuning fork as a tool to determine timing for analgesic in post operative pain relief in 60 male patients who underwent inguinal herniorrhaphy under subarachnoid block (SAB). After evaluating the time interval of recovery of vibration sense after SAB in 30 patients(Group I), tramadol 100 mg IM was given once the patient actually complained of pain at the surgical site, whereas in Group II (n=30) similar dose was given with the return of vibration sense at anterior superior iliac spine (ASIS). In Group I statistically significant rise in all the cardio respiratory parameters and VAS score were found especially near to timings for first request of analgesics (TRA 1 st ) whereas in Group II all these parameters remained near to basal values except at 360 th minute. Time for second request of analgesics (TRA 2 nd ) was significantly delayed (P< 0.001) in Group II (723.33 ±12.68 min) as compared to Group (358.33±9.12 min) Our result indicates that return of vibration sense at ASIS can be used as an indication for administration of parenteral analgesic for better post operative pain relief.
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spelling doaj.art-f9c93fe4d3964ef4b9592bbe87a714bd2022-12-22T03:46:17ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492007-01-01513216219Vibration sense testing to determine timing for analgesics in post operative pain reliefDilip KothariAmrita MehrotraAbhitab SaggarAim of this study was to study the vibration sense testing with 128 Hz tuning fork as a tool to determine timing for analgesic in post operative pain relief in 60 male patients who underwent inguinal herniorrhaphy under subarachnoid block (SAB). After evaluating the time interval of recovery of vibration sense after SAB in 30 patients(Group I), tramadol 100 mg IM was given once the patient actually complained of pain at the surgical site, whereas in Group II (n=30) similar dose was given with the return of vibration sense at anterior superior iliac spine (ASIS). In Group I statistically significant rise in all the cardio respiratory parameters and VAS score were found especially near to timings for first request of analgesics (TRA 1 st ) whereas in Group II all these parameters remained near to basal values except at 360 th minute. Time for second request of analgesics (TRA 2 nd ) was significantly delayed (P< 0.001) in Group II (723.33 ±12.68 min) as compared to Group (358.33±9.12 min) Our result indicates that return of vibration sense at ASIS can be used as an indication for administration of parenteral analgesic for better post operative pain relief.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=3;spage=216;epage=219;aulast=KothariPost operative pain relief; Subarachnoid blockTramadol; Vibration.
spellingShingle Dilip Kothari
Amrita Mehrotra
Abhitab Saggar
Vibration sense testing to determine timing for analgesics in post operative pain relief
Indian Journal of Anaesthesia
Post operative pain relief; Subarachnoid block
Tramadol; Vibration.
title Vibration sense testing to determine timing for analgesics in post operative pain relief
title_full Vibration sense testing to determine timing for analgesics in post operative pain relief
title_fullStr Vibration sense testing to determine timing for analgesics in post operative pain relief
title_full_unstemmed Vibration sense testing to determine timing for analgesics in post operative pain relief
title_short Vibration sense testing to determine timing for analgesics in post operative pain relief
title_sort vibration sense testing to determine timing for analgesics in post operative pain relief
topic Post operative pain relief; Subarachnoid block
Tramadol; Vibration.
url http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=3;spage=216;epage=219;aulast=Kothari
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