Evaluation of USG Guided Transversus Abdominis Plane Block for Post- Operative Analgesia in Total Abdominal Hysterectomy Surgeries

Prabu, Natesh R; Bharti, A.; Yadav, Ghanshyam; Vaibhav, P; ey,; Singh, Yashpal; Paswan, Anil Kumar; Gupta, B. S.; Singh, Dinesh

doi:10.4172/2155-6148.1000710

Cited by 3 publications

(5 citation statements)

References 17 publications

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“…It was observed that a significantly higher number of patients in the epidural group required rescue analgesic and at higher dosages (p<0.05). [22,24,26,27,30] Complications / Adverse effects In the present study, 2 (5.71%) and 3 (8.57%) patients in TAP group and Epidural group respectively had nausea. 1 (2.86%) and 2 (5.71%) patients in TAP group and Epidural group respectively had vomiting and 0 (0%) and 2 (5.71%) patients in TAP group and Epidural group respectively had a headache.The incidence of nausea & vomiting was more in the epidural group as compared to group A, however this difference was statistically not significant as per Chi-Square test (p>0.05).…”

Section: Visual Analog Scale For Painsupporting

confidence: 44%

“…Here, Mean arterial pressure was also significantly lower in the Epidural group as compared to TAP group (p<0.05) from 30 minutes to 8 hours of both the blocks. [20,26,27,30] Duration of Analgesia:…”

Section: Vital Parametersmentioning

confidence: 99%

“…In the present study, show postoperatively at 2 hours, 4 hours, 8 hours and 12 hours VAS score was significantly higher in the Epidural group as compared to TAP Group (p<0.05). [22][23][24][25][26] The requirement of rescue analgesia:…”

Section: Visual Analog Scale For Painmentioning

confidence: 99%

“…1 (2.86%) and 2 (5.71%) patients in TAP group and Epidural group respectively had vomiting and 0 (0%) and 2 (5.71%) patients in TAP group and Epidural group respectively had a headache.The incidence of nausea & vomiting was more in the epidural group as compared to group A, however this difference was statistically not significant as per Chi-Square test (p>0.05). [2,23,26]…”

Section: Visual Analog Scale For Painmentioning

confidence: 99%

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A Comparative Study of Effectiveness of Ultrasound-Guided Transversus Abdominis Plane (TAP) Block vs Epidural Analgesia for Post-Operative Pain Relief in Lower Abdominal Surgeries

Bhagasra¹,

Meena²,

Rajpurohit

2020

AAN

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Background: An increase in the use of regional anesthesia techniques for postoperative pain relief for analgesia following lower abdominal surgeries. Epidural anesthesia considered as the "gold standard" has been established to provide excellent analgesia as well as attenuation of neurogenic contribution to inflammation. The TAP block provides reliable somatic analgesia in lower abdominal incision surgeries. Use of ultrasound helps incorrect localization of the plane and accurate placement of the needle and catheter.Subjects and Methods:In TAP group under USG guidance 20 ml 0.2% Inj. Ropivacaine was deposited on each side of the abdominal wall. In Epidural group 10 ml of 0.2% Inj. Ropivacaine was administered at skin closure.Results:Systolic and diastolic blood pressure levels were significantly lower in group B as compared to group A (p<0.05). . VAS score was significantly higher in group B as compared to group A (P<0.05). It was observed that a significantly higher number of patients in epidural group required rescue analgesia and at higher dosages (p<0.05).Conclusion:TAP block has almost no complications, keeps the patient hemodynamically stable and offers a good early postoperative analgesia (till 24 hours) when compared to a more accepted modality like epidural analgesia.

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Section: Visual Analog Scale For Painsupporting

confidence: 44%

Section: Vital Parametersmentioning

confidence: 99%

Section: Visual Analog Scale For Painmentioning

confidence: 99%

Section: Visual Analog Scale For Painmentioning

confidence: 99%

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A Comparative Study of Effectiveness of Ultrasound-Guided Transversus Abdominis Plane (TAP) Block vs Epidural Analgesia for Post-Operative Pain Relief in Lower Abdominal Surgeries

Bhagasra¹,

Meena²,

Rajpurohit

2020

AAN

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“…Atimet al 10 have concluded that opioid is less inultrasound-guided TAP block after TAH than superficial wound infiltration.McDonnell et al 7 showed that TAP block reduce mean IV morphinerequirements more than 70%. Prabu et al 14 showed that TAP block had significantly reduced post-operative morphine consumption at 2,4 and 6 h and also reduced the mean morphine requirement by 57%. Ra et al 15 showed that USG-TAP block could the amount of opioid during operation and 24 hour post-operative period after laparoscopic cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Transversus Abdominis Plane Block as part of a Multimodal Analgesia to Reduce Opioid Consumption among Total Abdominal Hysterectomy Patients: A Randomized Control Trial

Haider

Begum

Islam

et al. 2020

j Bangladesh Soc Anaesthesiologists

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Background:Generally patients after total abdominal hysterectomy have suffered from moderate tosevere postoperative pain. Multimodal approach are using to reduce this pain. Objective:The purpose of the present study was to observe the effectiveness of transversus abdominisplane block as part of amultimodal analgesia to reduce opioid consumption among total hysterectomypatients. Methodology:This randomized control trial was conducted in Department of Anaesthesia, Analgesia,Palliative and Intensive Care Medicine of Dhaka Medical College and Hospital, Dhaka, Bangladeshfrom March 2016 to September 2018 for a period two years and six months. Women planned for anelective total abdominal hysterectomy under general anesthesia were selected as study population.Participants were selected and randomly divided into two groups designed as group I and group II.Patient of both group were given general anesthesia. Group I patient received 20 ml 0.25% bupivacaineand group II patient received 20 ml normal saline as placebo. Then dressing was done. The TAP blockwas performed after taking all aseptic precaution in the flank palpated between the 12th rib (Costalmargin) and the iliac crest. After confirmation of correct position, 20 ml 0.25% bupivacaine was given togroup I patient and 20 ml normal saline was given to group II patient within the fascial layer whichwas confirmed by ultrasound. Result:A total number of 40 patients were recruited for this study and were equally divided into twogroups. Thus 20 patients were in the group I and the rest 20 patients were in group II. The mean age ofgroup I were 53.08 ±4.25 and group II were 51.5±4.97 (p= 0.286).In this study 5(25.0%) patients hadnausea in group I and 8(40.0%) in group II, 3(15%) patients had vomiting in group I and 4(20.0%) ingroup II (p>0.05). The mean first analgesic demand was 8.39±1.85 hours in group I and 1.59±0.21 hoursin Group II (p=0.001).The mean total morphine consumption was 14.78±3.56 in group I and 26.30±5.9in group II (p<0.05). Conclusion:TAP block effectively reduced the total postoperative morphine consumption. JBSA 2020; 33(1): 16-21

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Ultrasound-guided Posterior Transversus Abdominis Plane Block Versus Epidural Analgesia for Postoperative Pain Relief in Lower Abdominal Surgeries

Singh

Das²,

Tiwari³

et al. 2023

Journal of Medical Sciences

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Background: Among the regional anesthesia techniques used for postoperative analgesia for lower abdominal surgeries, epidural analgesia (EA) has been the gold standard and time-tested technique, but complications and contraindications for the same warrant the need for other equally good analgesic techniques. Aim: The present study compared posterior transversus abdominis plane (TAP) block to EA for postoperative analgesic efficacy in patients undergoing lower abdominal surgeries. Methods: Prospective, observational study in patients undergoing lower abdominal surgeries under general anesthesia. Patients received ultrasound-guided (USG) 20 ml 0.2% ropivacaine each side in TAP block (Group A, n = 50) or 10 ml of 0.2% ropivacaine was administered in epidural (Group B; n = 50) before extubation. The Visual analog scale (VAS) score, hemodynamic parameters, and ill effects were recorded. Results: The blood pressure was significantly lower in first 6 h of block in Group B. VAS score was significantly lower in Group A in first 6 h of surgery. It was observed that a significantly higher number of patients in the Group B required rescue analgesic and at higher dosages. Postoperative nausea and vomiting were found in 32% of Group B and 22% of Group A patients. Conclusion: TAP block has almost no complications, keeps the patient more hemodynamically stable, and offers a better early postoperative analgesia when compared to EA in patients undergoing lower abdominal surgeries.

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Evaluation of USG Guided Transversus Abdominis Plane Block for Post- Operative Analgesia in Total Abdominal Hysterectomy Surgeries

Cited by 3 publications

References 17 publications

A Comparative Study of Effectiveness of Ultrasound-Guided Transversus Abdominis Plane (TAP) Block vs Epidural Analgesia for Post-Operative Pain Relief in Lower Abdominal Surgeries

A Comparative Study of Effectiveness of Ultrasound-Guided Transversus Abdominis Plane (TAP) Block vs Epidural Analgesia for Post-Operative Pain Relief in Lower Abdominal Surgeries

Effectiveness of Transversus Abdominis Plane Block as part of a Multimodal Analgesia to Reduce Opioid Consumption among Total Abdominal Hysterectomy Patients: A Randomized Control Trial

Ultrasound-guided Posterior Transversus Abdominis Plane Block Versus Epidural Analgesia for Postoperative Pain Relief in Lower Abdominal Surgeries

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