| Abstrakt: |
Background: Transverse abdominis plane block is effective modality of post operative analgesia for anterior abdominal wall surgeries . Women undergoing LSCS need good pain relief for comfort and early recovery and mobilization. Ultrasound guided transverse abdominis plane block is safe and effective way for postoperative analgesia. Objectives: The primary objective is total duration of postoperative analgesia. The secondary objective is to compare any side effects. Methods: 80 primigravida ASA 1 status, undergoing LSCS were recruited in this prospective randomized study. They were divided into two groups,group R ropivacaine,who received 20 ml 0.2% ropivacaine, and group L patients who received 20ml 0.25% of levobupivacaine via TAP block under ultrasound guidance. Postoperative pain was assessed using the visual analog scale upon arriving at the recovery room,just prior to being discharge to ward and at 6hrs,12 hours,18hrs,and 24hrs postoperatively to compare the effectiveness of analgesia. Results: A total of 80 patients were analyzed . Duration of analgesia was significantly longer in L group 10.94+0.62hrs compared to group R 8.16+0.36hrs(p<000.1),mean consumption of diclofenac was 150.77+14.90mg and 75.88+28.77 mg in group R and and L respectively p<0.005). Conclusion : Postoperative analgesia is better with 0.25%levobupivacaine as compared to 0.2% ropivacaine. [ABSTRACT FROM AUTHOR] |
