DEXMEDETOMIDINE: A WONDER DRUG FOR TAP BLOCK IN PATIENTS UNDERGOING ELECTIVE CAESAREAN SECTION FOR POSTOPERATIVE PAIN RELIEF
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 28
Abstract
BACKGROUND Transversus Abdominis Plane (TAP) Block is a field block which is widely used for post-operative pain relief in patients undergoing lower abdominal surgeries. The rate of lower segment caesarean sections seems to be increasing since the last decade all over the world. The objective of this study was to compare the efficacy of dexmedetomidine for transversus abdominis plane block for post-operative pain relief in elective caesarean section. The aim of the study is to compare the efficacy of dexmedetomidine for transversus abdominis plane block for postoperative pain relief in elective caesarean section. MATERIALS AND METHODS 60 ASA grade I and II patients posted for elective caesarean section were included in the study. These patients were divided into two groups. Thirty patients were included in the study group and received dexmedetomidine 0.5 mcg/kg along with 20 ml of 0.25% of bupivacaine. The control group included 30 patients who were not given dexmedetomidine and received only 20 ml of 0.25% bupivacaine. Transversus Abdominal Plane (TAP) Block is a field block in which the drug is injected into the neurovascular plane between the internal oblique and transversus abdominis muscle of the anterior abdominal wall. Blockade of T6 to T11 nerves of anterior abdominal wall is caused with this technique. RESULTS The P value was found to be statistically significant. CONCLUSION The addition of dexmedetomidine to bupivacaine while giving the TAP block reduced the dose of opioid requirement and also increased the duration of rescue analgesia significantly
Authors and Affiliations
Ujjwala Sumedh Andurkar, Maneesha Rajendrakumar Suryavanshi
Keywords
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- EP ID EP569158
- DOI 10.18410/jebmh/2018/443
- Views 109
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