Transversus Abdominis Plane Block for Post–Operative Analgesia in Laparoscopic Donor Nephrectomy: Comparison of two doses of Ropivacaine

Lungalang S; Biswas RG; Toshniwal V

Volume : IX, Issue : VIII, August - 2019

Transversus Abdominis Plane Block for Post–Operative Analgesia in Laparoscopic Donor Nephrectomy: Comparison of two doses of Ropivacaine

Lungalang S, Biswas Rg, Toshniwal V

Abstract :

Introduction: The use of TAP block under USG guided for pain management is an upcoming and useful tool for lower abdominal surgeries. Present study aimed to assess the efficacy of a lower dose of ropivacaine 0.15% with ropivacaine 0.2% for post–op analgesia. Materials & Methods: A total of 144 patients undergoing laparoscopic donor nephrectomy were divided into 2 groups of 72 each. After the surgery the patient position was changed to supine from lateral and TAP block was given under ultrasound guidance. One group received TAP block with ropivacaine 0.2% and the other group received ropivacaine 0.15%. VAS score, time to first rescue dose of tramadol and the total amount of tramadol given in 24 hours was noted. Data was analysed by SPSS software 21.0. Results: The VAS score was significant at 12 hours both at rest and on movement in post–operative period between the two groups. There was no significant difference in total amount of tramadol consumption in 24 hours post–operative period and the time to first rescue analgesia. Conclusion: Ropivacaine 0.15% is comparable to Ropivacaine 0.2%, with the added advantage of reducing local anesthesia toxicity. Keywords: Post–Operative Analgesia, Ropivacaine, Transversus Abdominis Plane Block,