Review of Continuous Wound Infusion Compared to Epidural Analgesia for Post- Operative Pain After Laparotomy In Hospital Sultanah Aminah Johor Bahru

Authors

  • Janes Belinda Tan Geil Nii Department of Anaesthesiology and Intensive Care, Hospital Sultanah Aminah, Johor Bahru
  • Noor Airini Ibrahim Department of Anaesthesiology and Intensive Care, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
  • Omar Sulaiman Department of Anaesthesiology and Intensive Care, Hospital Sultanah Aminah, Johor Bahru
  • Aizad Azahar Department of Anaesthesiology and Intensive Care, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia

DOI:

https://doi.org/10.31344/ijhhs.v8i40.759

Keywords:

Postoperative analgesia, epidural, continuous wound infusion

Abstract

Objectives: Post-operative pain remains a major concern and managing it optimally is core responsibility for Acute Pain Service (APS). Studies to demonstrate clear benefit of one analgesia modality over another are limited. The aim of this study was to compare analgesic efficacy of epidural analgesia with a relatively new method of analgesia, continuous wound infusion (CWI) for post-operative pain management after laparotomy. Methods: A retrospective observational study was performed to evaluate post-operative pain, length of stay and rescue analgesia requirements of 177 patients who underwent laparotomy between the year 2020 and 2021 in Hospital Sultanah Aminah Johor Bahru. Data from perianaesthetic care records, Enhanced Recovery After Surgery (ERAS) Audit form and medical records were collected and analysed. Results: 85 patients received continuous epidural analgesia (CEA) and 92 patients received CWI. CEA group was better in pain control at rest (p=0.05) and on movement (P=0.007). CEA group also had higher percentage of patients with well controlled pain (pain score <4/10) at rest (92.9% vs. 88%), and on movement (72.3% vs. 48.9%). CWI group had a median length of stay of 4 days and showed better effect of reducing length of stay (p=0.01). CEA group had a tendency towards longer admission days (>4days) compared CWI. Conclusions: CEA significantly produced lower pain scores after laparotomy surgery compared to CWI. Nevertheless, CWI had as role as an alternative in patients whom epidural is contraindicated or not planned in advance, while providing shorter hospital stay.

International Journal of Human and Health Sciences Supplementary Issue 02: 2024 Page: S26

Downloads

Published

2024-11-27

How to Cite

Tan Geil Nii, J. B., Ibrahim, N. A., Sulaiman, O., & Azahar, A. (2024). Review of Continuous Wound Infusion Compared to Epidural Analgesia for Post- Operative Pain After Laparotomy In Hospital Sultanah Aminah Johor Bahru. International Journal of Human and Health Sciences (IJHHS), 8(40), S88. https://doi.org/10.31344/ijhhs.v8i40.759

Issue

Supplementary Issue-2: 2024

Section

Research Abstracts

License

Authors who publish in the International Journal of Human and Health Sciences agree to the following terms that:

  1. Authors retain copyright and grant International Journal of Human and Health Sciences the right of first publication of the work.

  2. Creative Commons Licence
    Articles in International Journal of Human and Health Sciences are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.