COMPARISON OF POSTOPERATIVE PAIN SCORE FOLLOWING TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUS PLACEBO, IN PATIENTS UNDERGOING ELECTIVE TOTAL ABDOMINAL HYSTERECTOMY UNDER GENERAL ANAESTHESIA

Authors

  • Raja Muhammad Bilal Combined Military Hospital Hyderabad Pakistan
  • Bilal Humayun Khan Durrani Combined Military Hospital, Chhor Pakistan
  • Rao Ali Shan Khan Combined Military Hospital Kharian/National University of Medical Sciences (NUMS) Pakistan

Keywords:

Placebo, Total abdominal hysterectomy, Transversus abdominis plane block

Abstract

Objective: To compare the mean postoperative pain score following Transversus Abdominis Plane block versus placebo, in patients undergoing elective total Abdominal Hysterectomy under general anaesthesia.

Study Design: Quasi experimental study.

Place and Duration of Study: Department of Anaesthesia and Intensive Care, Combined Military Hospital Peshawar, from May 2016 to Nov 2016.

Methodology: A total of 74 (37 cases in each group) were included in the study. Group-A received ultrasoundguided bilateral blocks with 0.25% bupivacaine while placebo group (group-B) was administered injection of normal saline.

Results: In group-A 20 patients (54.0%) and in group-B 19 patients (51.4%) belonged to American Society of Anesthesiologist class-I (ASA-I) status while in group-A 17 patients (56.0%) and in group-B 18 patients (48.6%) were having American Society of Anesthesiologist class-II (ASA-II) status. Mean values of height (cm), weight (kg), parity, BMI (kg/m2) and IV tramadol consumption (mg) were calculated. Comparison of pain score between two group was done, mean pain score in group-A was 1.62 ± 0.49 and in group-B 3.38 ± 0.49. There was statistically significant difference observed between two groups (p<0.001).

Conclusion: The transversus abdominis plane block, as a component of a multimodal analgesic regimen, provided superior analgesia when compared to placebo block at 24 postoperative hours after elective total abdominal hysterectomy.

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Published

23-02-2021

How to Cite

Bilal, R. M., Durrani, B. H. K., & Khan, R. A. S. (2021). COMPARISON OF POSTOPERATIVE PAIN SCORE FOLLOWING TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUS PLACEBO, IN PATIENTS UNDERGOING ELECTIVE TOTAL ABDOMINAL HYSTERECTOMY UNDER GENERAL ANAESTHESIA. Pakistan Armed Forces Medical Journal, 71(1), 40–44. Retrieved from https://pafmj.org/PAFMJ/article/view/6353

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