Comparative study of ropivacaine and ropivacaine with dexmedetomidine in ultrasound-guided transversus abdominis plane (TAP) block for post operative analgesia in laparoscopic cholecystectomies
Keywords:
Dexmedetomidine, laparoscopic cholecystectomy, postoperative analgesia, subcostal transversusabdominis block, visual analogue scaleAbstract
Background and aims: TAP block is an effective way to provide postoperative analgesia .TAP block using ropivacaine alone has not been consistently proven to be effective in alleviating pain after laparoscopic surgeries. The study aimed to compare the combination of dexmedetomidine and ropivacaine to ropivacaine alone in TAP block for laparascopic cholecystectomy patients for post operative analgesia. Materials and Methods: 60 patients of ASA health status I or II, were divided equally into 2 groups. Groups R received bilateral US- TAP blocks with 20 mL 0.375% Ropivacaine and Group RD received, 20 ml 0.375% ropivacaine with 50μg dexmedetomidine. Each patient was assessed in the PACU for first 24 hr for pain duration of analgesia,and need for rescue analgesic. Results: The mean of VAS pain score was least in group RD compared to group R and statistically significant (P < 0.05).The total rescue analgesia ( tramadol ) consumption in 24 h after surgery was (116.6±37.9) mg in group RD against (160±67.4) mg in group R, which was also statistically significant (P < 0.05). Duration of analgesia was greater in group RD (7.7 ± .53) compared to group R (4.5 ± .56).
Downloads
References
Bansal P, Sood D. Effect of dexmedetomidine as an adjuvant to ropivacaine in ultrasound-guided transversusabdominis plane block for post-operative pain relief in cesarean section. Journal of Obstetric Anaesthesia and Critical Care. 2018 ;8(2):79-82.
Carney J, McDonnell JG, Ochana A, Bhinder R, Laffey JG. The transversusabdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy. AnesthAnalg 2008;107:2056 60
El Dawlatly AA, Turkistani A, Kettner SC, Machata AM, Delvi MB, Thallaj A, et al. Ultrasound guided transversusabdominis plane block: Description of a new technique and comparison with conventional systemic analgesia during laparoscopic cholecystectomy. Br J Anaesth 2009;102:763 7.
Elnabtity AM, Ibrahim M. Intraperitonealdexmedetomidine as an adjuvant to bupivacaine for postoperative pain management in children undergoing laparoscopic appendectomy: A prospective randomized trial. Saudi journal of anaesthesia. 2018 ;12(3):399-405.
Gaibullaeva, N. N. (2021). The role of clinical examination early diagnosis of glaucoma. International Journal of Health & Medical Sciences, 4(3), 333-337. https://doi.org/10.31295/ijhms.v4n3.1745
Mankikar MG, Sardesai SP, Ghodki PS. Ultrasound guided transversusabdominis plane block for post operative analgesia in patients undergoing caesarean section. Indian J Anaesth 2016;60:253 7.
McDonnell JG, O’Donnell B, Curley G, Heffernan A, Power C, Laffey JG. The analgesic efficacy of transversusabdominis plane block after abdominal surgery: A prospective randomized controlled trial. AnesthAnalg 2007;104:193 7.
Pan W, Liu G, Li T, Sun Q, Jiang M, Liu G, Ma J, Liu H. Dexmedetomidine combined with ropivacaine in ultrasound‑guided tranversusabdominis plane block improves postoperative analgesia and recovery following laparoscopic colectomy. Experimental and Therapeutic Medicine. 2020 ;19(4):2535-42.
Rafi AN, author. Abdominal field block: A new approach via the lumbar triangle. Anaesthesia. 2001;56:1024–6
Sarvesh B, Shivaramu BT, Sharma K, Agarwal A. Addition of Dexmedetomidine to Ropivacaine in subcostal transversusabdominis plane block potentiates postoperative analgesia among laparoscopic cholecystectomy patients: a prospective randomized controlled trial. Anesthesia, Essays and Researches. 2018 ;12(4):809-813.
Sun Q, Liu S, Wu H, Ma H, Liu W, Fang M, Liu K, Pan Z. Dexmedetomidine as an adjuvant to local anesthetics in transversusabdominis plane block: a systematic review and meta-analysis. The Clinical journal of pain. 2019 ;35(4):375-384.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Get vaccinated when it is your turn and follow the local guidelines. International Journal of Health Sciences, 5(3), x-xv. https://doi.org/10.53730/ijhs.v5n3.2938
Xu L, Hu Z, Shen J, McQuillan PM. Efficacy of US-guided transversusabdominis plane block and rectus sheath block with ropivacaine and dexmedetomidine in elderly high-risk patients. Minerva anestesiologica. 2017 ;84(1):18-24.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
