COMPARISON OF ANALGESIC EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK WITH CONVENTIONAL LOCAL ANESTHETIC WOUND INFILTRATION

Objective: To determine the analgesic efficacy of ultrasound guided transversus abdominis plane block in comparison to conventional local anesthetic wound infiltration technique in patients undergoing laproscopic cholecystectomy. Study Design: Randomized controlled trial. Place and Duration of S...

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Autores principales:	Liaquat Ali, Majid Waseem, Amjad Iqbal
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	local anesthesia nausea and vomiting postoperative pain Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/122db207a74247508b97b9dd453ee79f
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spelling	oai:doaj.org-article:122db207a74247508b97b9dd453ee79f2021-12-01T03:09:13ZCOMPARISON OF ANALGESIC EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK WITH CONVENTIONAL LOCAL ANESTHETIC WOUND INFILTRATION0030-96482411-8842https://doaj.org/article/122db207a74247508b97b9dd453ee79f2018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2264/1961https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the analgesic efficacy of ultrasound guided transversus abdominis plane block in comparison to conventional local anesthetic wound infiltration technique in patients undergoing laproscopic cholecystectomy. Study Design: Randomized controlled trial. Place and Duration of Study: Combined Military Hospital Rawalpindi, from Jan 2016 to Jun 2016. Material and Methods: This study was conducted after approval from the ethical committee. Total of 132 patients, American Society of Anesthesiologists physical status I or II, were randomized to group A and group B (n=66), received ultrasound guided transversus abdominis plane block on each side and local anesthetic wound infiltration with 0.5% bupivacaine (1mg/kg). Injection nalbuphine was used as a rescue analgesic if needed. Mean pain score and total rescue analgesia required were recorded on emergence, then 2 hourly for next 12 hours postoperatively, in numerical rating scale and in milligram (mg). Results: Mean pain score at 12 hours postoperatively in group A and group B were 4.01 ± 2.55 and 6.04 ± 2.74 respectively (p-value <0.05). Similarly the mean opiate requirement till 12 hour postoperatively in group A and group B were 6.39 ± 3.86 (mg) and 9.95 ± 4.62 (mg) (p-value <0.05). Nausea/vomiting were observed in 19 (28.78%) and 31 (46.96%) patients in group A and group B respectively. Conclusion: Ultrasound guided transversus abdominis plane block has shown to be an effective modality for providing adequate postoperative analgesia with significantly less post-operative opiate requirement when compared to local anesthetic wound infiltration.Liaquat AliMajid WaseemAmjad IqbalArmy Medical College Rawalpindiarticlelocal anesthesianausea and vomitingpostoperative painMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1106-1110 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	local anesthesia nausea and vomiting postoperative pain Medicine R Medicine (General) R5-920
spellingShingle	local anesthesia nausea and vomiting postoperative pain Medicine R Medicine (General) R5-920 Liaquat Ali Majid Waseem Amjad Iqbal COMPARISON OF ANALGESIC EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK WITH CONVENTIONAL LOCAL ANESTHETIC WOUND INFILTRATION
description	Objective: To determine the analgesic efficacy of ultrasound guided transversus abdominis plane block in comparison to conventional local anesthetic wound infiltration technique in patients undergoing laproscopic cholecystectomy. Study Design: Randomized controlled trial. Place and Duration of Study: Combined Military Hospital Rawalpindi, from Jan 2016 to Jun 2016. Material and Methods: This study was conducted after approval from the ethical committee. Total of 132 patients, American Society of Anesthesiologists physical status I or II, were randomized to group A and group B (n=66), received ultrasound guided transversus abdominis plane block on each side and local anesthetic wound infiltration with 0.5% bupivacaine (1mg/kg). Injection nalbuphine was used as a rescue analgesic if needed. Mean pain score and total rescue analgesia required were recorded on emergence, then 2 hourly for next 12 hours postoperatively, in numerical rating scale and in milligram (mg). Results: Mean pain score at 12 hours postoperatively in group A and group B were 4.01 ± 2.55 and 6.04 ± 2.74 respectively (p-value <0.05). Similarly the mean opiate requirement till 12 hour postoperatively in group A and group B were 6.39 ± 3.86 (mg) and 9.95 ± 4.62 (mg) (p-value <0.05). Nausea/vomiting were observed in 19 (28.78%) and 31 (46.96%) patients in group A and group B respectively. Conclusion: Ultrasound guided transversus abdominis plane block has shown to be an effective modality for providing adequate postoperative analgesia with significantly less post-operative opiate requirement when compared to local anesthetic wound infiltration.
format	article
author	Liaquat Ali Majid Waseem Amjad Iqbal
author_facet	Liaquat Ali Majid Waseem Amjad Iqbal
author_sort	Liaquat Ali
title	COMPARISON OF ANALGESIC EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK WITH CONVENTIONAL LOCAL ANESTHETIC WOUND INFILTRATION
title_short	COMPARISON OF ANALGESIC EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK WITH CONVENTIONAL LOCAL ANESTHETIC WOUND INFILTRATION
title_full	COMPARISON OF ANALGESIC EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK WITH CONVENTIONAL LOCAL ANESTHETIC WOUND INFILTRATION
title_fullStr	COMPARISON OF ANALGESIC EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK WITH CONVENTIONAL LOCAL ANESTHETIC WOUND INFILTRATION
title_full_unstemmed	COMPARISON OF ANALGESIC EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK WITH CONVENTIONAL LOCAL ANESTHETIC WOUND INFILTRATION
title_sort	comparison of analgesic efficacy of transversus abdominis plane block with conventional local anesthetic wound infiltration
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/122db207a74247508b97b9dd453ee79f
work_keys_str_mv	AT liaquatali comparisonofanalgesicefficacyoftransversusabdominisplaneblockwithconventionallocalanestheticwoundinfiltration AT majidwaseem comparisonofanalgesicefficacyoftransversusabdominisplaneblockwithconventionallocalanestheticwoundinfiltration AT amjadiqbal comparisonofanalgesicefficacyoftransversusabdominisplaneblockwithconventionallocalanestheticwoundinfiltration
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COMPARISON OF ANALGESIC EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK WITH CONVENTIONAL LOCAL ANESTHETIC WOUND INFILTRATION

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