Downloads: 4 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Research Paper | Medical Science | India | Volume 11 Issue 1, January 2022
Efficacy of Ultrasound-Guided Continuous Transversus Abdominis Plane Block versus Continuous Epidural Analgesia in Postoperative Pain Management Following Abdominal Surgery
Dr. Gayathri G. | Dr. Chitra V. R. | Dr. Sandhya M. S.
Abstract: Postoperative pain increases morbidity and acts as a hindrance to early recovery. In this study, we have compared Epidural analgesia and Transversus abdominis plane block (TAPB) Primary Objective Comparison of postoperative opioid requirement in first 24 hours following surgery in patients given continuous TAPB and continuous epidural analgesia measured as the proportion of patients who used more than 2?g/kg of fentanyl during the first 24 h on arrival at the recovery ward METHODS 92 patients with ASA status I and II, aged 18? 68 years, posted for abdominal surgeries at Medical College, Trivandrum were enrolled in this observational study by consecutive sampling. After routine pre-anaesthetic check-up, all patients had General Anaesthesia standardized with Propofol, Isoflurane, Fentanyl titrated to effect and Vecuronium. Preoperatively the EA patients had an epidural catheter placed at appropriate level and at the end of the procedure, a bolus of 6 to 8 ml of Bupivacaine 0.25% + 50?g fentanyl. The data was entered into a master chart using Microsoft excel and analysed using statistical software CONCLUSION From our study, we can conclude that continuous epidural infusion provides better postoperative analgesia when compared to continuous TAP infusion. Fentanyl consumption was significantly lower in the epidural group compared to the TAP group. Epidural analgesia also provided lesser postoperative pain scores at rest and movement.
Keywords: TAP block, epidural analgesia, Fentanyl, Bupivacaine, Postoperative analgesia
Edition: Volume 11 Issue 1, January 2022,
Pages: 155 - 174
How to Cite this Article?
Dr. Gayathri G., Dr. Chitra V. R., Dr. Sandhya M. S., "Efficacy of Ultrasound-Guided Continuous Transversus Abdominis Plane Block versus Continuous Epidural Analgesia in Postoperative Pain Management Following Abdominal Surgery", International Journal of Science and Research (IJSR), Volume 11 Issue 1, January 2022, pp. 155-174, https://www.ijsr.net/get_abstract.php?paper_id=SR211231184358
How to Share this Article?
Similar Articles with Keyword 'TAP block'
Comparing the Anlgesic Efficacy of Ultrasound Guided Transversus Abdominis Plane Block Versus Local Wound Infiltration in Open Inguinal Hernia Surgeries using 0.25% Bupivacaine
Dr Mihika Divatia | Dr Amit Kumar Prasad
Ultrasound Guided Transverse Abdominis Plane Block for Post Operative Analgesia for Unilateral Hernioplasty
Dr. K. Premakumari | Dr. Edward Johnsonjoseph | Dr. J. Steffi