“Comparision Between 0.2% Ropivacaine Versus 0.2% Ropivacaine with Dexmeditomidine In Ultrasound Guided Transversusabdominis Plane Block For Post Operative Analgesia In Unilateral Lower Abdominal Surgeries”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Background And Aims: The transversusabdominis plane block is a new rapidly expanding regional anesthesia technique that provide analgesia of Anterior abdominal wall surgeries. TransversusAbdomimis Plane block significantly reduces pain associated with lower abdominal surgeries. It may be used as primary anesthesia or Post operative analgesia.The present study aims to “Comparative study of 0.2% Ropivacaine Versus 0.2% Ropivacaine with Dexmedetomidine in Ultrasound guided TAP block for Post operative Analgesia in Unilateral lower abdominal surgeries”. Keywords: The transversusabdominis plane block,Ropivacaine,Dexmedetomidine,Unilateral lower abdominal surgeries,Ultrasound guided. Methods: The present study on „‟comparision between 0.2 % Ropivacaine versus 0.2% Ropivacaine with Dexmedetomidine in ultrasound Guided TransversusAbdominis Plane Block for post operative Analgesia in Unilateral Lower Abdominal surgeries‟‟ was conducted in the Department of Anaesthesiology & Critical Care, M.L.N. Medical college, Allahabad, U.P., India. Patient were explained the purpose of study along with the procedure and thereafter a legal valid, informed and written consent was taken from the all patient undergoing study. Our study has total 60 patient of more than 18 years of age and ASA Class I & II of both male and female sex divided into two groups of 30 patients each. Patients conducted under General Anaesthesia. After the completed unilateral lower abdominal surgery they were given Ultrasound Guided TransversusAbdominis Plane block for post operative analgesia. Results: TAP block is very good for postoperative analgesia and also in the term of side effects complication . Adition of adjuant as Dexameditomidine in Ropivacaine increase the onset quality and duration of analgesia compare to Ropivacaine alone . Conclusion: We concluded from this study that although both Ropivacaine and Ropivacaine with Dexmeditomidine in USG guided TAP block are associated with minimum haemodynamic change, haemodynamic stability are better in Ropivacaine with Dexmeditomidine. TAP block is very good for postoperative analgesia and also in the term of side effects complication . Adition of adjuant as Dexameditomidine in Ropivacaine increase the onset quality and duration of analgesia compare to Ropivacaine alone . As there are few literature available on TAP block as a sole analgesic, further studies are required to substantiate the above finding.
Authors and Affiliations
Gupta Arun Kumar, Yadav Dharmendra Kumar, Mishra L S, Mahendra Pratap
Keywords
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- EP ID EP588942
- DOI 10.9790/0853-1601042643
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