Serry, M., Abd Elazym, E., El Berbary, D., Hassan, A. (2021). Ultrasound-guided transversus Abdominis plane block for postoperative analgesia after abdominal sugery by using bupivacain alone and bupivacain with additive. test, 6(4), 65-71. doi: 10.21608/bjas.2021.189525
M.Y. Serry; E.S. Abd Elazym; D.H. El Berbary; A.M. Hassan. "Ultrasound-guided transversus Abdominis plane block for postoperative analgesia after abdominal sugery by using bupivacain alone and bupivacain with additive". test, 6, 4, 2021, 65-71. doi: 10.21608/bjas.2021.189525
Serry, M., Abd Elazym, E., El Berbary, D., Hassan, A. (2021). 'Ultrasound-guided transversus Abdominis plane block for postoperative analgesia after abdominal sugery by using bupivacain alone and bupivacain with additive', test, 6(4), pp. 65-71. doi: 10.21608/bjas.2021.189525
Serry, M., Abd Elazym, E., El Berbary, D., Hassan, A. Ultrasound-guided transversus Abdominis plane block for postoperative analgesia after abdominal sugery by using bupivacain alone and bupivacain with additive. test, 2021; 6(4): 65-71. doi: 10.21608/bjas.2021.189525

Ultrasound-guided transversus Abdominis plane block for postoperative analgesia after abdominal sugery by using bupivacain alone and bupivacain with additive

Benha Journal of Applied Sciences
Article 11, Volume 6, Issue 4, August 2021, Pages 65-71    PDF (568.72 K)
Document Type: Original Research Papers
DOI: 10.21608/bjas.2021.189525
Authors
M.Y. Serry; E.S. Abd Elazym; D.H. El Berbary; A.M. Hassan
Anesthesiology and ICU department, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt
Abstract
Background: Caesarean section is often linked with moderate to severe pain, resulting in patient discontent, patient rehabilitation, and lengthy hospitalisation. This research aimed to assess and evaluate the effectiveness and safety of dexmedetomidine and dexamethasone in addition for postoperative analgesia in patients in caesarean section with bupivacaine in the ultrasound guided TAP block. Methods: Random allocation of 90 patients to three equal groups: Group A Transversal Ultrasound Controlled Abdominal Fluke (uTAP):) got bilateral transversal ultrasound guided ultrasound plane block. 20 ml of 0.25 percent bupivacaine and 2 ml of normal saline were administered on both sides. Group B transversal guided ultrasound (UTAP): Bilateral ultrasound guided transversal plane block (UTAP). Dexmedetomidine 1mcg/kg was dissolved into 2 ml of normal saline and 0,25 percent of the amount was added on each side to 20 ml of bupivacaine. Group C Transversal Guided Abdominal Block (uTAP): got the bilateral ultrasound transversal guided plane block of the abdominal abdominal ultrasonography. Dexamethasone 4 mg had been dissolved by adding 20 ml of bupivacaine to 2 ml of normal saline.25 per cent. Results and Conclusion: adding dexmedetomidine to the TAP block for TAP substantially reduces the VAS value, reduces the usage of narcotic in the first 12 hours, increases drowsiness and extends TFA more than dexamethasone.
Keywords
Transversus Abdominis; Block; Analgesia; Abdominal sugery; Bupivacaine
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