COMPARATIVE STUDY OF 0.2% LEVOBUPIVACAINE VERSUS 0.2% LEVOBUPIVACAINE WITH DEXMEDETOMIDINE IN ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS

Dr. Dharmendra Kumar Yadav; Dr. Anjali Srivastava; Dr. L.S.Mishra

Volume : X, Issue : VI, June - 2020

COMPARATIVE STUDY OF 0.2% LEVOBUPIVACAINE VERSUS 0.2% LEVOBUPIVACAINE WITH DEXMEDETOMIDINE IN ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS

Dr. Dharmendra Kumar Yadav, Dr. Anjali Srivastava, Dr. L. S. Mishra

Abstract :

Background And Aims: The Transverses Abdominis Plane block is a new rapidly expanding regional anesthesia technique that provide analgesia following Anterior abdominal wall surgeries. The Aim of this study to evaluate effect of adding adjuvant (dexmedetomidine) to 0.2% levobupivacaine in the study of Ultrasound guided TAP block for Post operative Analgesia in lower abdominal surgeries”. Meterials & Methods: A prospective,randomised double–blinded study enrolled total 60 patients , of more than 18 years of age and ASA Class I & II of either sex divided into two groups. 1.Group L–TAP Block using Levobupivacaine alone, 2.Group D–TAP Block with Levobupivacaine + dexmedetomidine . Patients conducted under General Anaesthesia. After the completed lower abdominal surgery they were given Ultrasound Guided Transversus Abdominis Plane block for post operative analgesia. Results: A total of 60 patients were analyzed, onset time of analgesia was late in group L(12.06±1.94min)Vs group D(9±1.67min)(P<0.0001),duration of analgesia was longer in group D(15.1±1.86 h)Vs group L(9.83±1.66 h)(p<0.0001),the VAS Score at rest was lower in D Group Vs L Group at 8,12 & 24 hours. patient satisfaction with postoperative analgesia was better in D Group. Number of Rescue analgesia in 24 hours was more in group L.(3.53±0.97) Vs D group(1.8±0.88)(p<0.0001). Conclusion: Addition of Dexmedetomidine into Levobupivacaine in USG guided TAP Block increases the onset quality and duration of analgesia and reduce post–operative analgesic requirements