Clinical evaluation of efficacy and safety of transversus abdominis plane block with bupivacaine and ropivacaine for post-operative analgesia following lower segment caesarean section: A prospective, randomized, controlled, double blind study

Authors : Ravikumar Parmar, Chandrika Bhut, Lopa Trivedi, Prashant Parmar, Rajani Maulik Parikh

DOI : 10.18231/j.ijca.2019.035

Volume : 6

Issue : 2

Year : 2019

Page No : 189-193

Introduction: It is important for parturient to have less pain and to ambulate early in order to prevent venous thrombosis and to facilitate child care. Transversusabdominis plane (TAP) block is a recent peripheral nerve block technique which is used for the lower abdominal wall surgical procedure.
Materials and Methods: Study was carried out in 60 patients. Patients were randomly divided in two groups of 30 patients each by computer generated random no. method. After completion of caesarean section under spinal anesthesia, TAP block was given with 15 ml of 0.25% bupivacaine bilaterally in group Band with 15 ml of 0.25% ropivacaine bilaterally in group R. Pain severity was measured by Visual Analog Scale. Total dose and frequency of rescue analgesics required in 24 hours, effect on hemodynamic variables, side effects & complications if any were noted.

Result: VAS score have significantly less in group R (P<0>P<0>P<0>
Conclusion: There has been growing interest in regional nerve block techniques in recent era with significant results on efficacy, as they decrease the requirement of supplemental analgesia. TAP block is a very effective technique with excellent efficacy after various abdominal surgeries including cesarean section.

Keywords: TAP block, Bupivacaine, Ropivacaine.

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