Evaluation of Safety and Efficacy between 0.25% Bupivacaine and 0.375% Ropivacaine for Ultrasound-Guided Transversus Abdominis Plane Block in Lower Segment Caesarian Section Parturients
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 5
Abstract
Objective: To assess the analgesic effect of bilateral ultrasound-guided transversus abdominis plane- block (TAP) with bupivacaine compared with ropivacaine among pregnant woman undergoing a cesarean section. Methods: In this study, 60 parturient scheduled for cesarean section randomly received either 20 ml of 0.25% bupivacaine (n=21) or ropivacaine 0.375 % (n=39) in the transversus abdominis plane on each side at the end of surgery. The clinical endpoints such as pain intensity, time to the first analgesic requirement, number of pain medication used and nausea, vomiting, were measured at 2, 8, 12, 24, and 48 h following TAP block. Results: Both 0.375% ropivacaine and 0.25% bupivacaine showed a significant reduction in pain intensity. However, there was no statistically significant difference between the groups in pain intensity. Time for first rescue analgesia was seen first in patients under bupivacaine group than ropivacaine group. There was no significant difference in a number of analgesic doses between both the groups. Side effects like nausea and vomiting were comparable. Conclusion: Both 0.375% ropivacaine and 0.25% bupivacaine were safe and efficient in TAP blocks in parturients undergoing caesarian section. Time for first rescue analgesia was shorter in bupivacaine group compared to ropivacaine group.
Authors and Affiliations
Jagadish Vaddineni
Keywords
Related Articles
- EP ID EP538405
- DOI 10.21088/ijaa.2349.8471.5518.26
- Views 88
- Downloads 0
A Comparative Study of Intrathecal Dexmedetomidine and Fentanyl in Lower Abdominal Surgeries
Context: Fentanyl was commonly used previously but due to its short duration of analgesia and more requirements of analgesics, efficacy of dexmedetomidine was evaluated by some studies and found to be effective. Aim: To...
Efficacy of Epidural Clonidine as an Adjuvant to Local Anesthetic in Lower Abdominal Surgeries: A Randomized Control Clinical Trail
Management of both intraoperative anaesthesia and post operative pain by neuraxial block demands addition of additives which gives good and prolonged postoperative analgesia with minimal side effects. Among various cho...
Assessment of Paramedical Staff’s Knowledge Regarding Speciality of Anesthesia and Anesthesiologists: A Questionnaire Based Study
Background: Paramedical staff is the cornerstone of health care system. Knowledge of paramedical staff regarding different specialty is of paramount importance for the efficient delivery of healthcare services. As anesth...
The Antacid and Analgesic Efficacy of Intramuscular Tramadol in Patients Undergoing General Anaesthesia
Pulmonary aspiration during induction of general anaesthesia is an important cause of anaesthetic mortality and morbidity. Many agents have been tried to reduce this risk. Aim: To assess and compare the antacid and analg...
Comparative Evaluation of Ondansetron and Fentanyl for Alleviation of Pain Caused By Propofol Injection
Aim: Pain associated with Propofol injection is quite distressing. This study was aimed to compare the effectivness of ondensetron and fentanyl for alleviation of pain caused by propofol injection. Setting and design: Pr...