الفهرس | Only 14 pages are availabe for public view |
Abstract This study performed to assess the effect of auricular acupuncture on reducing the post-operative pain in patients undergoing cesarean section surgery under spinal anesthesia, and how much it lowers the total IV PCA morphine consumption through 24 hours postoperatively. This study was achieved on 56 patients who were scheduled for cesarean section surgery. The study included patients of the age group between 21 to 40 years and of ASA physical status I and II classification. On the other hand, the study excluded patients who had contraindications for spinal anesthesia as coagulopathy and platelet abnormalities, contraindication for ear acupuncture and patients who had sensitivity to morphine and/or bupivacaine. After patient assessment through history, examination and investigations, the procedures were explained to the patients including VAS and PCA. Patients were randomly allocated on alternative basis to two equal groups, 28 patients for each group. Standard monitoring equipments were attached to the patients including three lead ECG, non-invasive blood pressure and pulse oximetry. All patients were anaesthetized by spinal anesthesia then group Ι: received ear acupuncture before spinal anesthesia. group ΙΙ: received spinal anesthesia only. Comparison between the two groups was done regarding the demographic data and postoperative monitoring; including the hemodynamics, quality of postoperative analgesia; including VAS, time of the first request of analgesia, and total IV PCA consumption, and complications including nausea, vomiting and over sedation. |