A Comparativestudy of 0.25% bupivacaine and 0.25% ropivacaine in transversusabdominis plane block for post-operative analgesia patient undergoing below umblical surgery
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 8, Issue 3
Abstract
Background:The transversusabdominis plane (TAP) blockinvolves the injection of a local anesthetic solution into a plane between the internal oblique muscle and transversusabdominis muscle.Aim: In this study we have aimed to compare the analgesic efficacy of 0.25% Bupivacaine and 0.25% Ropivacaine20ml each side in bilateral TAP block for post-operativepain management in patients undergoing below umblicalsurgery.Methodology:A sample of 60 patients were taken for this study. And divided into two groups, each group consisting of 30 patients and they received post-operative ultra sound guided bilateral TAP block.Results: The post-operative pain score in the Ropivacaine group was significantly less when compared to the Bupivacaine group.The time of rescue analgesia in the Ropivacaine group was significantly longer compared to the Bupivacaine group. The patients given 0.25% Bupivacaine had 4.5 times risk of having nausea within 24 hours of onset when compared to those given 0.25% Ropivacaine.Conclusion: The conclusion of our study is that 0.25%Ropivacaine and 0.25%Bupivacaine arealmost equally effective in TAP block and provides effective postoperative analgesia. Although, 0.25% Ropivacaine has an edge over 0.25% Bupivacaine in post-operativeanalgesia, significantly longer time of rescue analgesia and lesser complications like nausea and vomiting.
Authors and Affiliations
G Nirmalkumar, P Selvakumaran, U G Thirumaaran, B Anand
Keywords
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- EP ID EP453374
- DOI 10.26611/10158316
- Views 120
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