Ultrasound guided bilateral rectus sheath block for post operative analgesia in patients undergoing umbilical surgeries under GA. A comparative study between bupivacaine, levobupivacaine and Ropivacaine
| Autor: | Mona Panchal, Upasna Bhatia, Shyni Abraham, Charmi Shah |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Bupivacaine
Ropivacaine Visual analogue scale business.industry medicine.medical_treatment Analgesic Rectus sheath Hernia repair 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Levobupivacaine 030202 anesthesiology Anesthesia Thoracic Nerves medicine business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Indian Journal of Clinical Anaesthesia. 7:32-38 |
| ISSN: | 2394-4994 2394-4781 |
| Popis: | Introduction: Ultrasound guided (US) rectus sheath block, blocks ventral rami of 7th to 12th thoracic nerves by injection of local anaesthetics (LA) into the space between the rectus muscle and posterior sheath. The aim of the study was to evaluate the analgesic efficacy of Bupivacaine, Levobupivacaine and Ropivacaine in ultrasound guided bilateral rectus sheath block in patients undergoing umbilical surgeries. Materials and Methods: Patients received bilateral US-guided injection of total 30 mL of levobupivacaine (GpL) 0.25 % (or 0.375% of Ropivacaine (GpR) or 0.25%of Bupivacaine (GpB) respectively, behind the rectus muscle to detach it from its sheath. Analgesic efficacy of LA was evaluated using duration of analgesia, pain score at extubation and 1-16 hrs postoperatively and mean VAS (visual analogue scale) score to assess the quality of analgesia. Results: There were statistically significant differences in VAS scores between the groups L, R and B at all postoperative time points - 1hr, 2 hr, and 3hr till 16hrs. (P three groups was 9.300.92 hrs in Gp L, 13.021.17 hrs in Gp R and 6.2 0.83hrs in Gp B respectively. This difference was statistically significant (p = Conclusions: Single shot of different local Anaesthetics in Ultrasound guided bilateral rectus sheath block provides postoperative analgesia up till 16hrs in patients with BMI 25-40kg/m2 undergoing umbilical surgeries with excellent VAS scores with Ropivacaine. Keywords: Umbilical hernia repair, Ultrasound guided rectus sheath block, Levobupivacaine, Ropivacaine, Postoperative analgesia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|