Indian Journal of Anaesthesia  
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CLINICAL INVESTIGATION
Year : 2007  |  Volume : 51  |  Issue : 3  |  Page : 216-219

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


1 M.D., Associate Professor, Department of Anaesthesiology, G.R.Medical College & J.A.Group of Hospitals, Gwalior (M.P.), India
2 M.D., Professor & Head, Department of Anaesthesiology, G.R.Medical College & J.A.Group of Hospitals, Gwalior (M.P.), India
3 Ex-P.G.Student, Department of Anaesthesiology, G.R.Medical College & J.A.Group of Hospitals, Gwalior (M.P.), India

Correspondence Address:
Dilip Kothari
2-A, J. A. Hospital Campus, Gwalior
India
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Source of Support: None, Conflict of Interest: None


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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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