PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 68, No. 3, JUNE 2018

COMPARISON OF TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUS LOCAL INFILTRATION OF WOUND WITH BUPIVACINE AFTER APPENDISECTOMY

Rao Ali Shan Khan, Usman Eijaz Malik*, Amanat Khan**, Muhammad Saeed

Abstract

 

Objective: To compare the effect of transverses abdominis plane block verses local infiltration of wound with Bupivacaine to assess frequency of analgesic requirement for pain relieve during 15 hours after appendisectomy.
Study Design: Randomized controlled trial.
Place and Duration of Study: Combined Military Hospital Peshawar, from Apr 2016 to Oct 2016.
Results: Both the groups were comparable with to assess frequency of analgesic for pain relieve after TAP Block Vs local infiltration with bupivacaine. In group A the frequency of analgesic requirement was less as compared to group B (p<0.05).
Material and Methods: Ninety two patients fulfilling the inclusion criteria were included by consecutive sampling technique for this study and divided into two groups of 46 each. Patients of group A were administered transverse abdominis plane (TAP) block via ultrasound guide. Patients in group B received local infiltration with Bupivacaine. Frequency of analgesic requirement for pain relieve were assessed by anaesthetist during 15 hours after appendisectomy.
Conclusion: Frequency of analgesic requirement was less in TAP block as compared to local infiltration of wound with bupivacaine during 15 hours after appendisectomy.

Keywords : Anaesthesia, Analgesics, Local, Nerve Block, Pain Postoperative



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