Abstract

Background: Local infiltration analgesia (LIA) is a novel and trending method for decreasing postoperative pain. The advantages of effective postoperative pain management include patient comfort and satisfaction, early ambulation, faster recovery with less likelihood of the development of neuropathic pain, and reduced cost of care. This Study was conducted to evaluate the efficacy of LIA over epidural analgesia. Methods: A total of 54 participants (27 in each group) who were undergoing total knee arthroplasty under spinal anaesthesia received epidural analgesia and local infiltration analgesia alternatively, both of which is standard post operative analgesic technique. The patients were followed up for post operative pain score and also watched for other adverse effects of the both procedure. Results: It was found that post operative pain at 24th hour was comparatively better in both the groups compared to 6th and 12th hour as the p value of 0.000 was statistically significant. Pain score was lesser in LIA group when compared with epidural group at all times as p value 0.000 was statistically significant. It was noted that mobilization time was better in LIA group when compared to epidural group. Incidence of nausea and vomiting was higher in epidural group.

Description