Prospective randomized trial of iliohypogastric-ilioinguinal nerve block on post-operative morphine use after inpatient surgery of the female reproductive tract
2008

Impact of Nerve Block on Pain Management After Surgery

Sample size: 60 publication Evidence: low

Author Information

Author(s): Wehbe Salim A, Ghulmiyyah Labib M, Dominique El-Khawand H, Hosford Sarah L, Ehleben Carole M, Saltzman Steven L, Sills Eric Scott

Primary Institution: Atlanta Medical Center

Hypothesis

Does iliohypogastric-ilioinguinal nerve block reduce post-operative morphine use and length of stay in female patients undergoing surgery?

Conclusion

The study found that post-operative narcotic use, pain scores, and length of stay were not significantly affected by the nerve block.

Supporting Evidence

  • No significant difference in morphine use was observed between the two groups.
  • Pain scores were similar between the nerve block and control groups.
  • Length of stay was not significantly different between the two groups.

Takeaway

The nerve block didn't help patients use less pain medicine or stay in the hospital for a shorter time after surgery.

Methodology

A randomized double-blind placebo-controlled trial with 60 female patients undergoing laparotomy, comparing nerve block with saline.

Potential Biases

Operator variability may have influenced the outcomes.

Limitations

The study was not powered to detect a significant difference and had operator variability in performing the nerve block.

Participant Demographics

Female patients undergoing laparotomy, average age around 43 years.

Statistical Information

P-Value

0.85

Statistical Significance

p=0.85

Digital Object Identifier (DOI)

10.1186/1477-5751-7-11

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