Evaluation of the Efficacy of 0.20% Ropivacaine with Dexmedetomidine versus 0.20% Ropivacaine Alone for Transversus Abdominis Plane Block in Infra-Umbilical Surgery: A Randomized Controlled Study
Abstract: Background: Postoperative pain management is a critical component of surgical recovery. The Transversus Abdominis Plane (TAP) block has emerged as an effective regional anesthesia technique for abdominal surgeries. This study evaluates the efficacy of adding dexmedetomidine to ropivacaine in TAP blocks to enhance postoperative analgesia. Methods: This prospective, randomized, double - blinded, controlled study was conducted at the Department of Anaesthesiology, HITECH Medical College and Hospital, Bhubaneswar, from 2023 to 2025. Sixty ASA I - II patients, aged 18?60, undergoing infra - umbilical surgery under spinal anesthesia were randomized into two groups: RS (0.20% Ropivacaine with saline) and RD (0.20% Ropivacaine with dexmedetomidine 1 mcg/kg). Postoperative analgesia was assessed using the Visual Analog Scale (VAS), time to first rescue analgesia, total tramadol consumption, and hemodynamic parameters. Results: Patients in the RD group had significantly prolonged analgesia compared to the RS group (10.80?6.38 vs.2.80?0.99 hours, p
Keywords: TAP block, ropivacaine, dexmedetomidine, postoperative analgesia, infra - umbilical surgery
How to Cite?: Dr. Nihar Ranjan Pradhan, Dr. Sucheta Pattnayak, "Evaluation of the Efficacy of 0.20% Ropivacaine with Dexmedetomidine versus 0.20% Ropivacaine Alone for Transversus Abdominis Plane Block in Infra-Umbilical Surgery: A Randomized Controlled Study", Volume 14 Issue 3, March 2025, International Journal of Science and Research (IJSR), Pages: 965-969, https://www.ijsr.net/getabstract.php?paperid=SR25319224502, DOI: https://dx.doi.org/10.21275/SR25319224502