A Randomized Control Study to Evaluate (0.25%) Bupivacaine and (0.5%) Ropivacaine for Post Operative Analgesia using Transversus Abdominis Plane Block (TAPB) in Lower Segment Caesarean Section
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 6
Abstract
Introduction: Patient undergoing caesarean section suffer significant postoperative pain. Transversus Abdominis Plane Block is an effective method of providing postoperative analgesia in patient undergoing lower segment caesarean section. We evaluated the efficacy of (0.25%) Bupivacaine and (0.5%) Ropivacaine for providing effective postoperative analgesia using TAPB in lower segment caesarean section. Material and Methods: Randomized controlled double blinded study was carried out in 90 female patients belonging to ASA grade 1 or 2, aged 20 - 35 years undergoing lower segment caesarean section. Patients were randomly allocated in two groups of 45 each (n=45). After all aseptic precautions patients were administered subarachnoid block bupivacaine heavy (0.5%) , 10mg, by 25G Whitacre spinal needle. After completion of surgery , they received TAP block with Group 1- 0.5% ropivacaine (1.5mg/kg) Group 2-0.25% bupivacaine (1mg/kg) Patients were monitored for Visual Analogue scale (VAS) ,heart rate, blood pressure, SpO2, nausea ,vomiting, need of supplemental analgesia with in 24 hours. Results: After LSCS the Transversus Abdominis Plane Block with 0.5% ropivacaine reduced postoperative Visual Analog Scale pain scores compared to 0.25% Bupivacaine. Conclusion: 0.5% Ropivacaine provide better and long duration of analgesia as compared with 0.25% Bupivacaine and also decrease first 24 hours analgesic requirement postoperatively.
Authors and Affiliations
Chavi Sethi, Roopesh Kumar, Pradeep Sahi, Amreen Fatima
Keywords
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