What is it about?
Abdominus Plane Block for Post Operative Analgesia in Patients Undergoing Abdominal Surgery
Featured Image
Photo by Mufid Majnun on Unsplash
Why is it important?
Introduction: Several modalities have been used to alleviate pain after laparoscopic abdominal surgeries – like nonsteroidal anti-inflammatory drugs (NSAIDs), opioids (both intravenous and patient controlled analgesia, infiltration of local anaesthetic, thoracic epidural block and multimodal analgesia. Apart from providing post operative pain relief, regional anaesthetic techniques improve patient recovery by preventing the neuroendocrine responses to surgery and reducing the postoperative opioid requirements. Aim: To compare the efficacy of 0.2% ropivacaine and 0.25% bupivacaine when used in USG guided Transversus abdominus plane block for post operative analgesia in abdominal surgeries. Material and Methods: 50 patients scheduled for elective lower abdominal surgeries. The patients were randomly divided into two groups of 25 each- Group B receiving 0.25% bupivacaine, group R receiving 0.2% ropivacaine. Conducted in Department of Anesthesiology, Great Eastern Medical School & Hospital, Srikakulam. Result: Results showed no significant differences between the study groups in terms of age, weight and gender distributions. VAS showed significant difference between the study groups at 6 hrs and 12 hrs. The mean postoperative VAS in group B (0.25% bupivacaine) was maximum at the end of 6 hrs (4.08) whereas the mean postoperative VAS in group R (0.2% ropivacaine) was maximum at the end 12 hrs (4.0). Conclusions: Ropivacaine can be used as a safe alternative to Bupivacaine, routinely for TAP block for patients undergoing abdominal surgeries.
Perspectives
Introduction: Several modalities have been used to alleviate pain after laparoscopic abdominal surgeries – like nonsteroidal anti-inflammatory drugs (NSAIDs), opioids (both intravenous and patient controlled analgesia, infiltration of local anaesthetic, thoracic epidural block and multimodal analgesia. Apart from providing post operative pain relief, regional anaesthetic techniques improve patient recovery by preventing the neuroendocrine responses to surgery and reducing the postoperative opioid requirements. Aim: To compare the efficacy of 0.2% ropivacaine and 0.25% bupivacaine when used in USG guided Transversus abdominus plane block for post operative analgesia in abdominal surgeries. Material and Methods: 50 patients scheduled for elective lower abdominal surgeries. The patients were randomly divided into two groups of 25 each- Group B receiving 0.25% bupivacaine, group R receiving 0.2% ropivacaine. Conducted in Department of Anesthesiology, Great Eastern Medical School & Hospital, Srikakulam. Result: Results showed no significant differences between the study groups in terms of age, weight and gender distributions. VAS showed significant difference between the study groups at 6 hrs and 12 hrs. The mean postoperative VAS in group B (0.25% bupivacaine) was maximum at the end of 6 hrs (4.08) whereas the mean postoperative VAS in group R (0.2% ropivacaine) was maximum at the end 12 hrs (4.0). Conclusions: Ropivacaine can be used as a safe alternative to Bupivacaine, routinely for TAP block for patients undergoing abdominal surgeries.
Red Flower Publication Publications
Red Flower Publication Pvt Ltd
Read the Original
This page is a summary of: A Comparative Study of 0.2% Ropivacaine vs 0.25% Bupivacaine in Transverse Abdominus Plane Block for Post Operative Analgesia in Patients Undergoing Abdominal Surgery, Indian Journal of Anaesthesia and Analgesia, January 2019, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.6419.19.
You can read the full text:
Contributors
The following have contributed to this page
