Sourabh Jain
AIIMS, India
Title: Comparative evaluation of 0.25% Bupivacaine and 0.25% Ropivacaine in transversus abdominis plane block for postoperative analgesia following lower segment caesarean section
Biography
Biography: Sourabh Jain
Abstract
Aims & Objective: Transversus Abdominis Plane Block (TAPB) is a regional anaesthesia technique. It provides analgesia aft er
lower abdominal surgery particularly where parietal wall pain forms major component of pain. It allows sensory blockade of
lower abdominal wall skin and muscles via local anesthetic deposition above transversus abdominis muscle. We evaluated
effi cacy of TAPB with bupivacaine and ropivacaine for postoperative analgesia in lower segment caesarean section, a double
blind, and prospective, randomized controlled clinical trial.
Method: 60 parturient undergoing elective or emergency LSCS were randomized to undergo TAP Block with ropivacaine (n
= 30) or bupivacaine (n = 30). TAP Block were performed at the end of surgery using 20 ml of 0.25 % ropivacaine or 0.25 %
bupivacaine each side. Each patient was assessed postoperatively by a blinded observer at 30 mins , 2 , 4, 6, 12 & 24 hours in ward.
Result: Th e results in both the groups were comparable clinically as well as statistically.
Conclusion: Th us we conclude that there is no signifi cant diff erence between 0.25% Bupivacaine and 0.25% Ropivacaine when
used in TAP Block for providing postoperative analgesia aft er lower segment caesarean section surgery. Both drugs have an
excellent safety profi le. Both drugs show outstanding clinical utility in terms of reliability & effective analgesia