A COMPARATIVE STUDY OF 0.25% BUPIVACAINE AND 0.25% ROPIVACAINE IN TRANSVERSUS ABDOMINIS PLANE BLOCK FOR POST OPERATIVE ANALGESIA FOLLOWING EMERGENCY LAPAROTOMY.

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Dr. Ankita
Dr. Harish Kumar
Dr. Rajesh Chandra
Dr. Amit Kumar

Keywords

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Abstract

 


Aim : To compare the analgesic efficacy of 0.25% Bupivacaine and 0.25% Ropivacaine in TAP block as a part of a multimodal analgesia regimen for post Laparotomy pain management.


Materials and Methodology: Patients more than 18 years old posted for emergency laparotomy  in a tertiary care centre of eastern India. After approval from the institutional ethical committee and written informed patients consent, 60 Patients  were included in the study.


Mode Of Selection Of Cases: Randomised computer sampling technique.Group A: TAP Block with 0.25% Bupivacaine 20 ml each side Group B: TAP Block with 0.25% Ropivacaine 20 ml each side
Conclusion :We conclude that the Inj. Bupivacaine and Inj. Ropivacaine provide comparable analgesia in TAP block for post operative Analgesia following Emergency laparotomy

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References

1. S.Charlton, A.M.Cyna, P.Middleton, and J. D. Griffiths,“Perioperative transversus abdominis plane(TAP)blocks for analgesia after abdominal surgery ,”Cochrane Database of Systematic Reviews ,vol .8,Article ID CD007705, 2010.
2. R.J.Kearns and S.J.Young,― “Transversus abdominis plane blocks a national survey of techniques used by UK obstetric anaesthetists ,” International Journal of Obstetric Anesthesia , vol .20,no.1, pp. 103–104, 2011.
3. M.Sforza, K.Andjelkov,R.Zaccheddu,H. Nagi , and M.Colic , “Transversus abdominis plane block in abdominoplasties,” Plastic and Reconstructive Surgery,vol.128, no. 2, pp. 529–535, 2011.
4. M. Hivelin, A.Wyniecki, B.Plaud, J.Marty, andL.Lantieri , “Ultrasound -guided bilateral transversus abdominis plane block for postoperative analgesia after breast reconstruction by DIEP flap,” Plastic and Reconstructive Surgery, vol . 128,no. 1, pp. 44–55, 2011
5. W.Mei,C.Jin ,L.Feng et al . , “Case report : bilateral ultrasound-guided transversus abdominis plane block combined with ilioinguinal -iliohypogastric nerve block for cesarean delivery anesthesia,”Anesthesia and Analgesia,vol.113, no. 1, pp. 134–137, 2011.
6. N.Bharti, P.Kumar ,I.Bala, and V.Gupta, “The efficacy of a novel approach to transversus abdominis plane block for Post Operative Analgesia after Colorectal Surgery,” Anesthesia and Analgesia, vol . 112, no. 6, pp. 1504 –1508, 2011.
7. J.Borglum, C.Maschmann, B.Belhage, and K.Jensen ,“Ultrasound-guided bilateral dual transversus abdominis plane block: a new four-point approach ,” Acta Anaesthesiologica Scandinavica,vol.55,no.6,pp.658–663,2011.
8. C.Aveline,H.Le Hetet ,A.Le Roux et al . ,“Comparison between ultrasound-guided transversus abdominis plane and conventional ilioinguinal/iliohypogastric nerve blocks for day case open inguinal hernia repair,” British Journal of Anaesthesia, vol.106, no.3, pp.380–386, 2011.
9. D.J.Owen,I.Harrod, J.Ford,M.Luckas, and V.Gudimetla , “The Surgical Tranversus abdominis plane block-a novel approach for performing an established technique ,” British Journal of Obstetrics and Gynaecology, vol.118,no.1, pp.24–27,2011.
10. G.Gravante, F.Castri ,F.Araco and A.Araco, “A comparative study of the transversus abdominis plane (TAP) block efficacy on post -bariatric vs aesthetic abdominoplasty with flank liposuction,”Obesity Surgery,vol.21,no.3,pp.278–282,2010.
11. J.M.Baaj ,R.A.Alsatli ,H.A.Majaj , Z.A.Babay, and A.K.Thallaj, “Efficacy of ultrasound-guided transversus abdominis plane (TAP) block for post -cesarean section delivery analgesia—a double blind, placebo controlled,randomized study,” Middle East Journal of Anesthesiology,vol.20,no.6,pp.821–826, 2010
12. P.L.Petersen,O. Mathiesen ,H.Torup,and J.B.Dahl, “The Transversus abdominis plane block: a valuable option for post operative analgesia? A topical review,”Acta Anaesthesiologica Scandinavica, vol .54, no.5, pp. 529 –535,2010.
13. B.D.O‘Donnell , J.G.McDonnell, an d A.J.McShane , “The Transversus Abdominis Plane (TAP) block in open retropubic Prostatectomy,” Regional Anesthesia and PainMedicine , vol.31, no. 1, article 91, 2006.
14. Kocum A,Turkoz A,Bozdogan N, et al .Femoral and sciatic nerve block with 0.25% bupivacaine for surgical management of diabetic foot syndrome: an anaesthetic technique for high-risk patients with diabetic nephropathy. J Clin Anesth 2010; 22:363- 6. doi :10.1016/ j.jclinane. 2009.04.009.
15. Hickey R1, Hoffman J, Ramamurthy S. A comparison of ropivacaine 0.5% and bupivacaine 0.5% for brachial plexus block. Anesthesiology. 1991 Apr;74(4):639-42.