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COMPARISION OF DEXAMETHASONE AND MAGNESIUM SULPHATE AS ADJUVANTS TO BUPIVACAINE FOR POSTOPERATIVE ANALGESIA IN LOWER ABDOMINAL SURGERIES USING TRANSVERSUS ABDOMINIS PLANE BLOCK

Authors: Abhinetri Golappa Danashetti; , Mahananda R Sontakke @ Nanda S Nandyal; Gurulingappa A. Pati; Lubna, Sadiya;

COMPARISION OF DEXAMETHASONE AND MAGNESIUM SULPHATE AS ADJUVANTS TO BUPIVACAINE FOR POSTOPERATIVE ANALGESIA IN LOWER ABDOMINAL SURGERIES USING TRANSVERSUS ABDOMINIS PLANE BLOCK

Abstract

Background:Transversus abdominis plane block is regional anaesthesia technique that provides analgesia to the parietal peritoneum as well as skin and muscles of the anterior abdominal wall.Magnesium is N-methyl D-aspartate receptor and physiological calcium antagonist.Dexamethasone is a potent glucocorticoid,has anti-inflammatory as well as analgesic properties. Objectives: To compare the duration of postoperative analgesia,time of administration of first rescue analgesia,systemic side effects of Bupivacaine with Magnesium sulphate and Dexamethasone using Transversus abdominis plane block. Methods: After approval of ethical committee and informed written consent A total of Sixty ASA grade I and II patients aged between 18-60 years undergoing lower abdominal surgeries were randomnly allocated to receive TAP block and divided into two groups of 30 each . Group BD received 20ml of 0.25% Bupivacaine +2ml(8mg) Dexamethasone , Group BM received 20ml 0f 0.25% Bupivacaine+1ml of 25% Magnesium sulphate(250mg)+1ml of normal saline respectively.Heart rate,mean arterial pressure,VAS score,time for first rescue analgesia and side effects were recorded postoperatively. Analgesia was given when VAS score was more than 4. Results: The postoperative visual analogue scale scores was significantly less in group BM.Time for first rescue analgesia was more in group BM compared to group BD without any systemic side effects . Conclusion:Administration of Magnesium sulphate with Bupivacaine reduces postoperative pain scores, prolongs the postoperative analgesia compared with Dexamethasone without any systemic side effects.

Keywords

Transversus Abdominis Plane Block Magnesium Sulphate Dexamethasone Bupivacaine Post Operative Analgesia Lower Abdominal Surgery

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