Panacea Journal of Medical Sciences

---

Transversus abdominis plane block with ropivacaine provides effective analgesiain patients undergoing total abdominal hysterectomy

Full Text PDF Share on Facebook Share on Twitter

---

Original Article

Author Details : Vibhuti Sharma, Vandana Talwar, Pratibha Mudgal*

Volume : 13, Issue : 2, Year : 2023

Article Page : 277-283

https://10.18231/j.pjms.2023.054

Suggest article by email

---

Abstract

Background: Transversus abdominis plane (TAP) block provides a novel approach for analgesia in abdominal surgery by blocking the sensory nerve supply of the anterior abdominal wall. We evaluated the analgesic efficacy of TAP block with ropivacaine in patients undergoing total abdominal hysterectomy (TAH).
Materials and Methods: 60 adult patients of ASA Grade 1 and 2 undergoing elective TAH were randomized into two groups in this double blind study. All patients received a standard general anaesthetic and before the surgical incision, a bilateral TAP block using the landmark technique was performed with 15 to 20 mlof 0.375% ropivacaine (maximum dose 3mg/kg) (Group R) or saline (Group C). Assessment of hemodynamic parameters and requirement of vecuronium and opioids was noted intraoperatively. Postoperative assessment of pain was performed at regular intervals using visual analog scale (VAS) and categorical pain score (CPS), and total analgesics administered over 48 hrs were noted.
Results : Intraoperative hemodynamic parameters showed significantly lower mean values in the ropivacaine group till 50 minutes and from 80 to 120 minutes after the surgical incision. (p value<0 p=0.000). p=0.000), p=0.004) p=0.007) postoperatively(p=0.000).> Conclusion: TAP block with ropivacaine provides effective intraoperative analgesia and decreases postoperative analgesic requirement till 48hours in patients undergoing total abdominal hysterectomy.
 

Keywords: TAP block, total abdominal hysterectomy, Ropivacaine

How to cite : Sharma V, Talwar V, Mudgal P, Transversus abdominis plane block with ropivacaine provides effective analgesiain patients undergoing total abdominal hysterectomy. Panacea J Med Sci 2023;13(2):277-283

Copyright © 2023 by author(s) and Panacea J Med Sci. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (creativecommons.org)