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Indian Journal of Anesthesia and Analgesia

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Ultrasound-Guided Transverse Abdominis Plane Block Using Bupivacaine 0.25% vs Ropivacaine 0.2% For Post-Operative Analgesia in Caesarean Section

Janmejaya Sahoo, Department of Anaesthesiology, Pain, Palliative & Critical Care, Institute of Medical Sciences & SUM Hospital, Bhubaneshwar, Orissa751003, India. , Satabdee Ray1 , Janmejaya Sahoo2 , Sujata P.3 , Anirudha Vyankatesh Potey4

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Indian Journal of Anesthesia and Analgesia 5(4):p 536-539, April 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5418.5

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Abstract

Introduction: Present study was conducted to compare the analgesic efficacy of 0.25% Bupivacaine and 0.2% Ropivacaine in Transverse Abdominis Plane (TAP) block under ultrasound guidance as a part of a multimodal analgesia regimen for post caesarean delivery pain management.

Materials & Methods: This prospective study was conducted at IMS and SUM Hospital, Bhubaneswar in 100 pregnant women (ASA grade II and III parturient) undergoing either elective or emergency LSCS under spinal anaesthesia by ultrasound guided transverse abdominis plane block randomised in two groups – 0.25% bupivacaine and 0.2% ropivacaine, given 10 ml on each side. The patients were assessed at post anesthesia care unit (PACU) and at 2, 6, 12, 24, 48 hours postoperatively in the obstetric ward for time of first request for analgesia, pain score of the patients analyzed during rest and movement using visual analogue scale (VAS) and side effects during first 48 hours.

Results: The two groups were comparable in demographics and baseline characteristics. The time of full Regression of block (p=0.731), time required for 1st analgesia (p=0.699) and total consumption of analgesia (p=0.833) were comparable in the two groups. The VAS score at rest and movement at multiple time intervals during followup period was similar in both groups.

Conclusion: Analgesic efficacy and safety of bupivacaine 0.25% and ropivacaine 0.2% is similar in TAP block under ultrasound guidance.

 

 

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5418.5

Keywords

Analgesia; Transverse Abdominis Plane; Caesarean; Ultrasound. 

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