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Postoperative analgesic effectiveness and opioid sparing effect of ultrasound guided transverse abdominis plane block in total abdominal hysterectomy under general anesthesia
- Source :
- Asian Journal of Medical Sciences, Vol 12, Iss 9, Pp 116-119 (2021)
- Publication Year :
- 2021
- Publisher :
- Manipal College of Medical Sciences, Pokhara, 2021.
-
Abstract
- Background: Ultrasound guided transvers abdominis plane (TAP) block is a recent modality of managing postoperative pain in lower abdominal surgeries. Aims and Objective: This study was carried out to evaluate postoperative analgesic effectiveness and opioid sparing effect of ultrasound guided transverse abdominis plane block in total abdominal hysterectomy. Materials and Methods: One hundred patients of age group 25 to 65 years enrolled for total abdominal hysterectomy under general anesthesia were studied in the postoperative period at Lal Ded Hospital, Government Medical College, Srinagar over a period of 18 months. Patients who received injection Ropivacaine by ultrasound guided TAP were kept in Group A and others who received only conventional analgesia were kept in Group B. Postoperative pain scores were assessed by VAS score at 1,2,3,4,5,6,12,18 and 24 hours. Time of first rescue analgesia, total opioid consumption and postoperative adverse events were also observed. Results: Postoperative VAS pain scores were significantly reduced at all time intervals in TAP bock group (Group A) when compared with conventional analgesia group (Group B). Mean time for first rescue analgesia was 377 min in Group A as compared to 169 minutes Group B and the difference was statistically significant (p
- Subjects :
- total abdominal hysterectomy
total abdominis plane block
vas score
Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 24679100 and 20910576
- Volume :
- 12
- Issue :
- 9
- Database :
- Directory of Open Access Journals
- Journal :
- Asian Journal of Medical Sciences
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.40a41911ae534e55a4d2ef5ea29f1120
- Document Type :
- article
- Full Text :
- https://doi.org/10.3126/ajms.v12i9.37650