Comparison of the Effect of Transversus Abdominis Plane Block and Local Infiltration with Bupivacaine for Postoperative Analgesia in Caesarean Section

Dr. Raju Shakya; Dr. Nari M. Lyngdoh; Dr. Rajani Thabah; Dr. Sunny Aggarwal

Volume : VIII, Issue : VII, July - 2019

Comparison of the Effect of Transversus Abdominis Plane Block and Local Infiltration with Bupivacaine for Postoperative Analgesia in Caesarean Section

Dr. Raju Shakya, Dr. Nari M. Lyngdoh, Dr. Rajani Thabah, Dr. Sunny Aggarwal

Abstract :

Background: Wound infiltration and abdominal nerve blocks have been used to provide post caesarean section analgesia. In our study we aim to compare the efficacy of providing post caesarean section analgesia between ultrasound (US) guided Transversus Abdominis Plane (TAP) block and wound infiltration. Methods: The study was conducted on 100 patients undergoing caesarean section who were divided into group A and B. Group A received a US guided TAP block and group B received surgical site infiltration with 1.5mg/kg of 0.25% bupivacaine following caesarean section. Patient�s Visual Analog Scale, heart rate , blood pressure, pulse oximetry , time to first rescue analgesia and post–operative complications were noted. Results: Postoperatively VAS scores were higher in group B than in group A and time to rescue analgesia was longer in group A. Conclusions: We conclude that ultrasound guided TAP block provides better and longer lasting post caesarean section analgesia.