EFFICACY OF ULTRASOUND GUIDED BILATERAL TRANSVERSUS ABDOMINIS PLANE BLOCK FOR THE ACUTE POST-OPERATIVEPAIN RELIEF IN THE OBSTETRICS & GYNECOLOGICAL SURGERIES IN FIRST 24 HOUR

Abstract

Objective: To compare the efficacy of ultrasound guided bilateral transversus abdominis plane block with conventional analgesic technique for post-operative pain relief, time to first request for analgesic, early mobilization, opioid related side effects in obstetric and gynecological surgeries. Study Design: Quasi experimental study. Place and Duration of Study: Obs & Gynae Department at Combined Military Hospital Lahore and Hyderabad, from, Apr 2017 to Sep 2017. Methodology: In this study 200 mothers were included. The population under study was divided into two groups, group-A mothers had Transversus Abdominis Plane block and group B (control) without Transversus Abdominis Plane block. Results: The mean age was 34 years within a range of 20 to 50 years. Pain score, Visual Analogue Score, was much lower in group A (with TAP block) in comparison to group B (without TAP block) (p-value=0.000). The median time for asking for painkillers was 10 hrs (9, 11) in group A as compared to 3 hrs (2, 6) in group B. Conclusion: Transversus Abdominis Plane block reduced pain intensity, delays the requirement of painkillers and decreased any additional requirements of opiates-analgesics especially when those are used as a part of any painkilling-regimens after obstetric and gynecological surgeries. Downloads

Keywords

• anaesthesia
• analgesia
• cesarean section
• early ambulation
• lower segment
• morphine
• nerve block