• Int J Obstet Anesth · Oct 1994

    Effect of preoperative skin infiltration with 0.5% bupivacaine on postoperative pain following cesarean section under spinal anesthesia.

    • T Pavy, D Gambling, P Kliffer, A Munro, P M Merrick, and J Douglas.
    • Department of Anaesthesia, University of British Columbia and Grace Hospital, Vancouver, BC, Canada.
    • Int J Obstet Anesth. 1994 Oct 1; 3 (4): 199-202.

    AbstractRecent work suggests that preoperative skin infiltration with local anesthetic may lead to reduced postoperative pain. We have studied this in a randomised, prospective, double-blind trial of 40 women having cesarean section under spinal anesthesia. After establishment of the spinal block, the incision line was infiltrated in 20 women with 30 ml 0.5% bupivacaine and in 20 with 30 ml normal saline. There was no difference in pain scores between the 2 groups on any of the 3 postoperative days, perhaps due to the high quality analgesia provided by supplemental subarachnoid morphine.

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