ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK USING O.375 % ROPIVACAINE FOR POST OPERATIVE ANALGESIA AFTER LOWER SEGMENT CESARIAN SECTION [LSCS]:A RANDOMIZED DOUBLE BLIND CONTROL STUDY

Dr. Rinkal Ramoliya V.; Dr. Akhilesh Chhaya Sir

Volume : IX, Issue : VIII, August - 2020

ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK USING O.375 % ROPIVACAINE FOR POST OPERATIVE ANALGESIA AFTER LOWER SEGMENT CESARIAN SECTION [LSCS]:A RANDOMIZED DOUBLE BLIND CONTROL STUDY

Dr. Rinkal Ramoliya V. , Dr. Akhilesh Chhaya Sir

Abstract :

Background: Ultrasound guidance has led a surge of interest in Transversus abdominis plane (TAP) block for postoperative analgesia in post–delivery lower segment cesarian section[LSCS]. It is one of the most widely used regional analgesic techniques and important component for postoperative analgesia. Aim and objectives: Efficacy of TAP block with Ropivacaine and normal saline for post–operative analgesia after LSCS, time to first analgesic request was noted in all the subjects, number of doses of rescue analgesia (tramadol). Method: A double blind, prospective randomized controlled trial study,40 mothers undergoing elective or emergency cesarian delivery were randomised to receive TAP block. The 1st group received bilateral 20 ml of 0.375% ropivacaine while the 2nd received the same volume of 0.9% normal saline at the end of the surgery after obtaining informed consent. All the subjects received a standard spinal anaesthesia. Breakthrough pain was treated with tramadol. Post–operatively, all the subjects were observer at 30mins, 1, 3, 6, 12 & 24 h in ward. Result : First request of rescue analgesic was310±18.53 minutes in R group, when compared with 86±9.85minutes in the C group and Total Tramadol consumption was less in R group (105±15.3mg) than in C group (308±16.09 mg). Conclusion: we conclude that 0.375% Ropivacaine provided longer duration of analgesia in study group than control group when used in TAP block for patients undergoing LSCS.