COMPARISON OF SUBCOSTAL TRANSVERSUS ABDOMINIS PLANE BLOCK WITH PORT SITE INFILTRATION OF LOCAL ANAESTHESIA IN LAPAROSCOPIC CHOLECYSTECTOMY

Kaukab Majeed; Nazish Shaukat; Muhammad Ali Muazzam; Usman Khalid; Junaid Zafar; Sajid .

doi:10.51253/pafmj.v71i2.3338

Authors

Kaukab Majeed Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Nazish Shaukat Armed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Muhammad Ali Muazzam Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Usman Khalid Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Junaid Zafar Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Sajid . Combined Military Hospital Skardu/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v71i2.3338

Keywords:

Regional anaesthesia, Subcostal block, Transverse adominis plane block

Abstract

Objective: To compare the efficacy of ultrasound guided subcostaltransversus abdominis plane block and port site infiltration of local anaesthesia in patients undergoing laparoscopic cholecystectomy.

Study Design: Comparative cross sectional study.

Place and Duration of Study: Anesthesiology department, Pak Emirates Military Hospital, Rawalpindi, from Jan to Jun 2019.

Methodology: A sample size of 62 patients calculated by World Health Organization calculator were randomized in a doubleblind study to undergo Sub costal transversus abdominis plane block or port site infiltration by non-probability, consecutive sampling into two equal groups. Group A received sub costal transversus abdominis plane block and group B local anaesthetic. Postoperative pain perception was measured using visual analogue scale.

Results: The mean age of patients in group A was 33.39 ± 8.91 years and in group B was 33.77 ± 8.45 years. Out of 62 patients 38 (61.29%) were males and 24 (38.71%) were females. Mean pain score in group A (ultrasound guided sub costal transversus abdominis plane block) was 1.61 ± 0.91 while in group B (port site infiltration of local anaesthetic) was 3.61 ± 1.05 (p-value 0.0001).

Conclusion: The mean pain score was less following use of ultrasound guided sub costal transversus abdominis plane block in patients undergoing laparoscopic cholecystectomy as compared to port site infiltration of local anaesthesia.