Comparison of efficacy of different concentration of bupivacaine in ultrasound-guided transversus abdominis plane (TAP) block for postoperative pain relief in lower segment cesarean section
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 6, Issue 3
Abstract
Women undergoing cesarean delivery present distinctive set of challenges to the anaesthesiologist in the immediate postoperative period. These women want to be alert and mobile in the postoperative period to care for their baby. The American college of obstetrics and gynecology states that the objective of postoperative analgesia in cesarean section patients is to hasten early ambulation, postoperative recovery and promote maternal infant bonding. Post-cesarean section pain and discomfort may be anticipated due to skin incision, uterine incision and uterine contraction. A significant component of pain experienced by patients after cesarean section is from the abdominal wall incision. Hence blocking the sensory nerve supply of the anterior abdominal wall will provide effective postoperative analgesia.TAP block is one of the regional anaesthetic techniques that blocks the sensory nerves of the anterior abdominal wall.. Especially use of ultrasound for TAP block, is the most practical imaging tool as it is portable, relatively easy to learn, and does not pose any radiation risk. Though there are many clinical trials using various local anaesthetics in different concentrations in TAP block, there is no standard guidelines regarding the choice of local anaesthetics,its dose and concentration to be used. Hence the goal of our study is to compare the effectiveness of 0.25% Bupivacaine and 0.375% Bupivacaine in ultrasound-guided TAP (Transversus Abdominis Plane) and the intensity of blockade provided by them as a part of postoperative analgesic regimen in patients undergoing lower segment cesarean section via pfannensteil incision.
Authors and Affiliations
Sathyan N, Subha P D, Murugan T
Keywords
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- EP ID EP452948
- DOI 10.26611/1015637
- Views 165
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