Home > Journals > Indian Journal of Anesthesia and Analgesia

Indian Journal of Anesthesia and Analgesia

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

Evaluation of Fentanyl as Adjuvant in Transversus Abdominis Block in Abdominal Hysterectomy for Post-operative Analgesia

Raju Rajgopalan Nair , Koshy Thomas1 , Raju Rajgopalan Nair2 , Joe Joseph3

Author Information

Licence:



Indian Journal of Anesthesia and Analgesia 6(6):p 1954-1958, November-December 2019. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6619.12

How Cite This Article:

Koshy Thomas, Raju Rajgopalan Nair, Joe Joseph. Evaluation of Fentanyl as Adjuvant in Transversus Abdominis Block in Abdominal Hysterectomy for Post-operative Analgesia. Indian J Anesth Analg. 2019;6(6 Part -I):1954-1958.

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background: The transversus abdominis plane (TAP) block is a regional analgesia technique that forms part of the multimodal approach to post-operative pain management for abdominal surgeries. Local anesthetics like Bupivacaine with longer duration are preferred for TAP block. Objectives: To evaluate if Fentanyl as an adjuvant to bupivacaine in ultrasound guided TAP block improve the duration and quality of post-operative analgesia following abdominal hysterectomy. Methods: Forty four patients, aged 18–60 years of American Society of Anesthesiologist (ASA) Physical status I or II, posted for elective open abdominal hysterectomy under general anesthesia were recruited by convenience sampling technique, to receive TAP block using 19.5 ml of bupivacaine hydrochloride 0.25% + 0.5 ml saline 0.9% (Group B, n = 22) or 19.5 ml of bupivacaine hydrochloride 0.25% + 0.5 ml Fentanyl. (25 micrograms) (Group BF, n = 22), after the completion of surgery but prior to extubation. Visual analog scale (VAS) scores at rest and movement were assessed on the emergence, at 0, 2, 4, 6, 12 and 24 hours (h). Results: VAS score was significantly lower in study group, at rest at 2h (14.68 vs 20.63, p = 0.006), 4h (24.46 vs 24.77, p = 0.02), 6h (22.27 vs 28.45, p = 0.002) and 12h (18.90 vs 21.00, p = 0.043) and that with movement, at 2h (20.45 vs 25.86, p = 0.006), 4h (25.23 vs 30.95, p = 0.001) and 6h (29.14 vs 33.90, p = 0.006). Sedation score in study group was relatively significant at 4h (1.77 vs 1.27, p = 0.01) but clinically in-significant to cause major adverse effects. Conclusion: Fentanyl as an adjuvant to bupivacaine in ultrasound guided transversus abdominis plane block, following abdominal hysterectomy under general anesthesia improves the quality and duration of post-operative analgesia without any major adverse effects.

References

No records found.


About this article

Cite this article

Koshy Thomas, Raju Rajgopalan Nair, Joe Joseph. Evaluation of Fentanyl as Adjuvant in Transversus Abdominis Block in Abdominal Hysterectomy for Post-operative Analgesia. Indian J Anesth Analg. 2019;6(6 Part -I):1954-1958.

Licence:



Received Accepted Published
N/A N/A N/A
DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6619.12

Keywords

Bupivacaine; Fentanyl; Ultrasound guidance; Transversus abdominis plane block; AdjuvantAnalgesia.

Article Level Metrics

Last Updated

Saturday 28 February 2026, 23:29:21 (IST)

1393

Accesses

0
246
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share