2023, Vol: 3, Issue: 1
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Original Research 


EFFECTIVENESS OF POST OPERATIVE ANALGESIA VIA ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK AFTER LOWER SEGMENT CESAREAN SECTION - A RONDOMISED CONTROL TRIAL.

DR. PRACHI VIDYUT SHAH, DR.NIRALI PANCHAL.

Abstract
ABSTRACT:
INTRODUCTION: Pain is unpleasant emotional and sensory experience. After caesarean
section good post- operative analgesia is important for mother to optimally care for her neonate,
effective breast feeding and also reduce risk of thromboembolic disease, respiratory
complications & reduce hospital stay. The purpose is to study the post-operative analgesic
effectiveness of ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK-
after CS over use of other mode of intravenous analgesic drugs.
METHODOLOGY: This study was conducted on 54 patients fulfiling inclusion criteria of
ASAII-III physical status undergoing elective lower segment cesarean section under spinal
anaesthesia, were divided randomly 27 each into GROUP T & GROUP C to assess the degree,
duration of analgesia & no. of rescue analgesia required for 24 hours. Both the groups received spinal anaesthesia with inj bupivacaine 0.25% same dose to both the groups.
In (Group T) ultrasound
guided TAP block with INJ BUPIVACIANE 0.25% + INJ DEXAMETHSONE 8 mg, while in
(GROUP C) participants received iv analgesia in form INJ DICLOFENAC 75 mg. The post
operative pain was evaluated using visual analogue scale at0,2,4,6,8,10,12, and 24 hours after
operation.
RESULTS: It is observed that duration of analgesia after TAP bock is significantly prolonged
with the (Mean± SD)16.407±6.783, that with group C is (Mean ± SD) 5.630±1.75 with P value
<0.001 & number of analgesic doses requirement in form of rescue analgesia in first 24 hours are
less in group T than in group C.
CONCLUSION: Post operative analgesia after lower segment cesarean section with TAP block,
the duartion for analgesia is prolonged and the requirement of rescue analgesia is minimal with
reduction in complications like nausea, vomiting.

Key words: PAIN, CESAREAN SCETION, POST OPERATIVE ANALGESIA, TRANSVERSUS ABDOMINIS PLANE BLOCK,RESCUE ANALGESIA.


 
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Pubmed Style

DPVS, PANCHAL D. EFFECTIVENESS OF POST OPERATIVE ANALGESIA VIA ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK AFTER LOWER SEGMENT CESAREAN SECTION - A RONDOMISED CONTROL TRIAL.. JHSPE. 2023; 3(1): 10-15. doi:10.5455/jhspe.20230311100802

Web Style

DPVS, PANCHAL D. EFFECTIVENESS OF POST OPERATIVE ANALGESIA VIA ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK AFTER LOWER SEGMENT CESAREAN SECTION - A RONDOMISED CONTROL TRIAL.. https://www.jhspe.in/?mno=146039 [Access: December 05, 2023]. doi:10.5455/jhspe.20230311100802

AMA (American Medical Association) Style

DPVS, PANCHAL D. EFFECTIVENESS OF POST OPERATIVE ANALGESIA VIA ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK AFTER LOWER SEGMENT CESAREAN SECTION - A RONDOMISED CONTROL TRIAL.. JHSPE. 2023; 3(1): 10-15. doi:10.5455/jhspe.20230311100802


Vancouver/ICMJE Style

DPVS, PANCHAL D. EFFECTIVENESS OF POST OPERATIVE ANALGESIA VIA ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK AFTER LOWER SEGMENT CESAREAN SECTION - A RONDOMISED CONTROL TRIAL.. JHSPE. (2023), [cited December 05, 2023]; 3(1): 10-15. doi:10.5455/jhspe.20230311100802


Harvard Style

, D. P. V. S. & PANCHAL, . D. (2023) EFFECTIVENESS OF POST OPERATIVE ANALGESIA VIA ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK AFTER LOWER SEGMENT CESAREAN SECTION - A RONDOMISED CONTROL TRIAL.. JHSPE, 3 (1), 10-15. doi:10.5455/jhspe.20230311100802


Turabian Style

, DR. PRACHI VIDYUT SHAH, and DR.NIRALI PANCHAL. 2023. EFFECTIVENESS OF POST OPERATIVE ANALGESIA VIA ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK AFTER LOWER SEGMENT CESAREAN SECTION - A RONDOMISED CONTROL TRIAL.. Journal of Health Sciences and Professions Education, 3 (1), 10-15. doi:10.5455/jhspe.20230311100802


Chicago Style

, DR. PRACHI VIDYUT SHAH, and DR.NIRALI PANCHAL. "EFFECTIVENESS OF POST OPERATIVE ANALGESIA VIA ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK AFTER LOWER SEGMENT CESAREAN SECTION - A RONDOMISED CONTROL TRIAL.." Journal of Health Sciences and Professions Education 3 (2023), 10-15. doi:10.5455/jhspe.20230311100802


MLA (The Modern Language Association) Style

, DR. PRACHI VIDYUT SHAH, and DR.NIRALI PANCHAL. "EFFECTIVENESS OF POST OPERATIVE ANALGESIA VIA ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK AFTER LOWER SEGMENT CESAREAN SECTION - A RONDOMISED CONTROL TRIAL.." Journal of Health Sciences and Professions Education 3.1 (2023), 10-15. Print. doi:10.5455/jhspe.20230311100802


APA (American Psychological Association) Style

, D. P. V. S. & PANCHAL, . D. (2023) EFFECTIVENESS OF POST OPERATIVE ANALGESIA VIA ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK AFTER LOWER SEGMENT CESAREAN SECTION - A RONDOMISED CONTROL TRIAL.. Journal of Health Sciences and Professions Education, 3 (1), 10-15. doi:10.5455/jhspe.20230311100802


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