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

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 Anaesth...

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Autores principales: Raja Muhammad Bilal, Bilal Humayun Khan Durrani, Rao Ali Shan Khan
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Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2021
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Acceso en línea:https://doaj.org/article/903755a595064ecc973fa78e211716e6
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spelling oai:doaj.org-article:903755a595064ecc973fa78e211716e62021-12-02T16:32:53ZCOMPARISON OF POSTOPERATIVE PAIN SCORE FOLLOWING TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUS PLACEBO, IN PATIENTS UNDERGOING ELECTIVE TOTAL ABDOMINAL HYSTERECTOMY UNDER GENERAL ANAESTHESIA0030-96482411-8842https://doaj.org/article/903755a595064ecc973fa78e211716e62021-02-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6353https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: 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.Raja Muhammad BilalBilal Humayun Khan DurraniRao Ali Shan KhanArmy Medical College Rawalpindiarticleplacebototal abdominal hysterectomytransversus abdominis plane blockMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 1, Pp 40-44 (2021)
institution DOAJ
collection DOAJ
language EN
topic placebo
total abdominal hysterectomy
transversus abdominis plane block
Medicine
R
Medicine (General)
R5-920
spellingShingle placebo
total abdominal hysterectomy
transversus abdominis plane block
Medicine
R
Medicine (General)
R5-920
Raja Muhammad Bilal
Bilal Humayun Khan Durrani
Rao Ali Shan Khan
COMPARISON OF POSTOPERATIVE PAIN SCORE FOLLOWING TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUS PLACEBO, IN PATIENTS UNDERGOING ELECTIVE TOTAL ABDOMINAL HYSTERECTOMY UNDER GENERAL ANAESTHESIA
description 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.
format article
author Raja Muhammad Bilal
Bilal Humayun Khan Durrani
Rao Ali Shan Khan
author_facet Raja Muhammad Bilal
Bilal Humayun Khan Durrani
Rao Ali Shan Khan
author_sort Raja Muhammad Bilal
title COMPARISON OF POSTOPERATIVE PAIN SCORE FOLLOWING TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUS PLACEBO, IN PATIENTS UNDERGOING ELECTIVE TOTAL ABDOMINAL HYSTERECTOMY UNDER GENERAL ANAESTHESIA
title_short COMPARISON OF POSTOPERATIVE PAIN SCORE FOLLOWING TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUS PLACEBO, IN PATIENTS UNDERGOING ELECTIVE TOTAL ABDOMINAL HYSTERECTOMY UNDER GENERAL ANAESTHESIA
title_full COMPARISON OF POSTOPERATIVE PAIN SCORE FOLLOWING TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUS PLACEBO, IN PATIENTS UNDERGOING ELECTIVE TOTAL ABDOMINAL HYSTERECTOMY UNDER GENERAL ANAESTHESIA
title_fullStr COMPARISON OF POSTOPERATIVE PAIN SCORE FOLLOWING TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUS PLACEBO, IN PATIENTS UNDERGOING ELECTIVE TOTAL ABDOMINAL HYSTERECTOMY UNDER GENERAL ANAESTHESIA
title_full_unstemmed COMPARISON OF POSTOPERATIVE PAIN SCORE FOLLOWING TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUS PLACEBO, IN PATIENTS UNDERGOING ELECTIVE TOTAL ABDOMINAL HYSTERECTOMY UNDER GENERAL ANAESTHESIA
title_sort comparison of postoperative pain score following transversus abdominis plane block versus placebo, in patients undergoing elective total abdominal hysterectomy under general anaesthesia
publisher Army Medical College Rawalpindi
publishDate 2021
url https://doaj.org/article/903755a595064ecc973fa78e211716e6
work_keys_str_mv AT rajamuhammadbilal comparisonofpostoperativepainscorefollowingtransversusabdominisplaneblockversusplaceboinpatientsundergoingelectivetotalabdominalhysterectomyundergeneralanaesthesia
AT bilalhumayunkhandurrani comparisonofpostoperativepainscorefollowingtransversusabdominisplaneblockversusplaceboinpatientsundergoingelectivetotalabdominalhysterectomyundergeneralanaesthesia
AT raoalishankhan comparisonofpostoperativepainscorefollowingtransversusabdominisplaneblockversusplaceboinpatientsundergoingelectivetotalabdominalhysterectomyundergeneralanaesthesia
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