Muhammad Azam, Muhammad Rashid, Noman Tariq, Tanveer Akhtar Butt, Tanzeela Firdous, Usman Yameen

Previous Published Issues


Postoperative Analgesic Effectiveness of Ultrasound Guided Transversus Abdominis Plane Block in C section

Muhammad Azam, Muhammad Rashid, Noman Tariq, Tanveer Akhtar Butt, Tanzeela Firdous, Usman Yameen



511



ABSTRACT

 

Aim: To observe the analgesic effect of transversus abdominis plane (TAP) block in patients with caesarean section postoperatively

Study design: Randomized controlled trail.

Place and duration of study: Department of Anesthesia, Bhatti International Hospital affiliated with the Central Park Medical College & Hospital, Lahore from 1st July 2019 to 31st December 2019.

Methodology: Fifty four patients were studied undergoing caesarean section under spinal or general anesthesia were randomized to undergo TAP block with bupivacaine (n=27) and controlled group (n=27) with normal saline. The standard analgesia was intravenous paracetamol and nalbuphine. At the end of the surgery, ultrasound guided TAP block was given bilaterally using bupivacaine or normal saline 10ml on either side. Pain intensity were observed using verbal rating score (VRS) and Visual analogue scale (VAS, 0= no pain vs 10 sever pain) at 2, 4, 6, 8, 10, 12 and 24 hours postoperatively in both groups.

Results: Patients received ultrasound guided TAP block showed less pain and more comfortable as compared to the other group received intravenous analgesic drugs. Mean requirement of intravenous analgesic drugs was reduced in the first 24 hour in study group.

Conclusion: Ultrasound guided TAP block in patients after cesarean section reduces pain and requirement of opioids and other analgesic drugs in first 24 hours.

Keywords: Transverses abdominis plane block, Cesarean section, Bupivacaine, Nalbuphine



Copyright © Pakistan Journal of Medical & Health Sciences 2020. All rights reserved!