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ZENODO
Article . 2024
License: CC BY
Data sources: ZENODO
ZENODO
Article . 2024
License: CC BY
Data sources: Datacite
ZENODO
Article . 2024
License: CC BY
Data sources: Datacite
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Comparative Study of Transverse Abdominis Plane Block (TAP) with 0.5% Bupivacaine and 0.75% Ropivacaine in the Duration of PostOperative Analgesia in Lower Abdominal Surgeries

Authors: Janakiramulu E; Kiran Kumar Suggala;

Comparative Study of Transverse Abdominis Plane Block (TAP) with 0.5% Bupivacaine and 0.75% Ropivacaine in the Duration of PostOperative Analgesia in Lower Abdominal Surgeries

Abstract

Background: The Transversus Abdominis Plane (TAP) block is a recently introduced regional anesthesia method utilized for postoperative pain control, with the potential to serve as the primary anesthetic in a growing array of surgical procedures. TAP block enhances postoperative pain management by reducing postoperative visual analog scale scores, opioid requirements, and the time elapsed before the initial administration of rescue analgesia in patients undergoing lower abdominal surgeries. Aims and Objectives: In our research, we employed the TAP block as the exclusive anesthetic method for elective patients undergoing Lower Abdominal Surgeries. We then compared the effectiveness of two distinct local anesthetics, namely 0.5% Bupivacaine and 0.75% Ropivacaine, in terms of their duration of anesthesia and analgesia as well as their impact on cardiovascular stability. Materials and Methods: A prospective randomized clinical trial involved 60 patients classified as ASA I and II who met the specified inclusion and exclusion criteria. These patients were divided equally into two groups: Group B, which received an injection of 0.5% bupivacaine, and Group R, which received an injection of 0.75% ropivacaine. The dosage administered did not surpass 2.5 mg/kg body weight for any participant. Results and Conclusion: Our study revealed that both drugs provide effective anesthesia for Lower abdominal Surgeries while maintaining hemodynamic stability. However, 0.75% Ropivacaine exhibited a significant delay in the onset of anesthesia (13.46 +/- 3.2 min) compared to 0.5% Bupivacaine (7.86 +/- 2.47 min) (P value <0.001). Furthermore, 0.75% Ropivacaine resulted in prolonged postoperative analgesia (675.54 +/- 30.31 min) compared to 0.5% Bupivacaine (573 +/- 45.72 minutes) (P value <0.001). This suggests that the Transversus Abdominis Plane (TAP) block can serve as the sole anesthetic technique for Lower abdominal surgeries.

Background: The Transversus Abdominis Plane (TAP) block is a recently introduced regional anesthesia method utilized for postoperative pain control, with the potential to serve as the primary anesthetic in a growing array of surgical procedures. TAP block enhances postoperative pain management by reducing postoperative visual analog scale scores, opioid requirements, and the time elapsed before the initial administration of rescue analgesia in patients undergoing lower abdominal surgeries. Aims and Objectives: In our research, we employed the TAP block as the exclusive anesthetic method for elective patients undergoing Lower Abdominal Surgeries. We then compared the effectiveness of two distinct local anesthetics, namely 0.5% Bupivacaine and 0.75% Ropivacaine, in terms of their duration of anesthesia and analgesia as well as their impact on cardiovascular stability. Materials and Methods: A prospective randomized clinical trial involved 60 patients classified as ASA I and II who met the specified inclusion and exclusion criteria. These patients were divided equally into two groups: Group B, which received an injection of 0.5% bupivacaine, and Group R, which received an injection of 0.75% ropivacaine. The dosage administered did not surpass 2.5 mg/kg body weight for any participant. Results and Conclusion: Our study revealed that both drugs provide effective anesthesia for Lower abdominal Surgeries while maintaining hemodynamic stability. However, 0.75% Ropivacaine exhibited a significant delay in the onset of anesthesia (13.46 +/- 3.2 min) compared to 0.5% Bupivacaine (7.86 +/- 2.47 min) (P value <0.001). Furthermore, 0.75% Ropivacaine resulted in prolonged postoperative analgesia (675.54 +/- 30.31 min) compared to 0.5% Bupivacaine (573 +/- 45.72 minutes) (P value <0.001). This suggests that the Transversus Abdominis Plane (TAP) block can serve as the sole anesthetic technique for Lower abdominal surgeries.

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Keywords

TAP Block, Landmark Technique, 0.5% Bupivacaine, 0.75% Ropivacaine, Lower Abdominal Surgeries.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
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