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
Related Articles
- EP ID EP453374
- DOI 10.26611/10158316
- Views 146
- Downloads 0
A comparative study of dexmedetomidine versus lignocaine used for laryngoscopy and endotracheal intubation with respect to blood pressure changes at tertiary health care centre
Background: Laryngoscopy and endotracheal intubation increase the plasma concentration of catecholamines due to sympathetic stimulation which can result in tachycardia and hypertension in most of the individuals Aims and...
Study of effect of spinal anaesthesia on perioperative hyperglycemia in non-diabetic patients undergoing lower limb orthopaedic surgeries
Background and Aims: The stress of surgery results in increased levels of gluco-regulatory hormones and excessive release of inflammatory cytokines. The counter-regulatory esponse produces alterations in carbohydrate met...
Diagnostic value of different screening tests for predicting difficult intubation
Aims: The aim of current study was to compare the diagnostic value of different screening test in predicting difficult intubation. Settings and Design: Hospital based observational cross sectional study Methods and Mater...
Evaluation of adding clonidine to lignocaine during bier’s block in upper limb surgeries
Background and aims: Bier’s block a.k.a Intravenous regional anaesthesia (IVRA) is used for short duration procedures for limb surgeries. IVRA provides reliable analgesia with good muscular relaxation of the extremity di...
Comparative study of dexmedetomidine and clonidine along with ropivacaine in epidural anaesthesia for vaginal hysterectomy
Background: The present randomized double blind prospective study was carried out for Comparison of Dexmedetomidine and Clonidine along with Ropivacaine in epidural anaesthesia for vaginal hysterectomy. Methods: 60 femal...