Comparative Study of Efficacy of 0.5% Ropivacaine and 0.25% Levobupivacaine When Used in Transversus Abdominis Plane Block for Post-Operative Analgesia in Lower Abdominal Surgeries
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 6, Pages 1313-1321
AbstractBackground: Transversus abdominis plane block (TAPB) is a regional anaesthesia technique. Analgesia is given following lower abdomen surgery, especially if parietal wall pain is a significant cause of suffering. Local anaesthetic deposition can be used to visually block the skin of the lower abdominal wall and the muscles over the Transversus Abdominis muscle. The goal of the investigation was to determine the efficacy of 0.25 percent Levobupivacaine and 0.5 percent Ropivacaine as analgesics in the Transversus Abdominis Plane Block for Post-Surgical Analgesia after Lower Abdominal Surgery.
Material and Methods: 60 patients between the ages of 18 and 60 who underwent elective lower abdominal surgery and had an ASA grade I or II were included in the study. The TAP block was given using a double pop technique with an 18 gauge hypodermic needle. Rescue analgesia was provided postoperatively for a VAS of greater than 4. The drug of choice for treating pain was injection Tramadol. The criteria for rescue analgesia were also examined.
Results: Both categories were equal in the demographic information. The diagnosis and the procedures carried out were the same in both courses. The drop in VAS score was equivalent in both classes. (P> 0.05). In the postoperative stage, rescue analgesia was required in both classes.
Conclusion: Following lower abdominal surgery, Levobupivacaine and Ropivacaine produce comparable analgesia in the Transversus Abdominis Plane Block for Post-Surgical Analgesia.
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