Effect Of Addition Of Dexmedetomidine To Ropivacaine In Ultrasound Guided Transverse Abdominis Plexus Block On Postoperative Pain In Open Appendicectomy
INTRODUCTION Post operative pain is the most common complaint in post anaesthesia care units (PACU). Lower abdominal surgeries are associated with severe post-operative pain and inadequate post-operative analgesia leads to many complications. Multimodality approach is used to treat postoperativ...
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| Format: | Article |
| Language: | English |
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Prathima Institute of Medical Sciences
2021-08-01
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| Series: | Perspectives In Medical Research |
| Subjects: | |
| Online Access: | https://www.pimr.org.in/2021-vol9-issue-1/originalarticle11_v1.pdf |
| _version_ | 1797462439726415872 |
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| author | Kamalakar Karampudi1 , Kavya Waghray2 |
| author_facet | Kamalakar Karampudi1 , Kavya Waghray2 |
| author_sort | Kamalakar Karampudi1 , Kavya Waghray2 |
| collection | DOAJ |
| description | INTRODUCTION
Post operative pain is the most common complaint in
post anaesthesia care units (PACU). Lower abdominal surgeries
are associated with severe post-operative pain and inadequate
post-operative analgesia leads to many complications.
Multimodality approach is used to treat postoperative pain.
Transversus abdominus plane (TAP) block is a peripheral nerve
block of the trunk that provides analgesia between T10 to L1
dermatomes with a single injection which was first described
by A.N. Rafi 1
in 2001 . TAP Block is indicated in any lower
abdominal surgeries. Local anaesthetic is deposited in the
fascial sheath between the internal oblique and transverse
abdominis muscle using either the blind or the ultrasound
guided technique. Adjuvants are frequently used in regional
analgesia for rapid onset to improve the quality and prolong
the duration of block. Alpha 2 agonist dexmedetomidine
speeds the onset of block and prolongs duration of analgesia.
Aim : To assess whether addition of dexmedetomidine to
ropivacaine may bring some improvements to the analgesic
efficacy and quality of TAP blocks in patients undergoing
appendicectomy surgeries .
MATERIALS AND METHODS
30 Patients belonging to ASA Class I or II scheduled for
appendicectomy were selected for the study .
The patients were randomized into two groups:
Group R - receiving plain ropivacaine (2ml of normal saline
and 20ml 0.2%ropivacaine)
Group R+D - receiving ropivacaine with dexmedetomidine (0.5
mcg /kg of dexmedetomidine dissolved in 2ml of normal saline
and 20ml 0.2%ropivacaine). At the end of surgery, USG guided
transversus abdominus plane block was performed.
Results
Addition of dexmedetomidine to ropivacine in TAP
block lower pain scores after 3hrs in postoperative period and
the same trend of analgesia continued for the first 24 hours.
It confers better post operative analgesia with less analgesic
requirement and adverse effects.
Conclusion:
The addition of dexmedetomidine to ropivacaine in TAP
block confers better pain control and decreases the total dose
of analgesics post-operatively without any major side-effects |
| first_indexed | 2024-03-09T17:36:33Z |
| format | Article |
| id | doaj.art-2cfb78a7a68846a6beb6ca84bd69bc07 |
| institution | Directory Open Access Journal |
| issn | 2348-1447 2348-229X |
| language | English |
| last_indexed | 2024-03-09T17:36:33Z |
| publishDate | 2021-08-01 |
| publisher | Prathima Institute of Medical Sciences |
| record_format | Article |
| series | Perspectives In Medical Research |
| spelling | doaj.art-2cfb78a7a68846a6beb6ca84bd69bc072023-11-24T11:52:41ZengPrathima Institute of Medical SciencesPerspectives In Medical Research2348-14472348-229X2021-08-0191646810.47799/pimr.0901.13Effect Of Addition Of Dexmedetomidine To Ropivacaine In Ultrasound Guided Transverse Abdominis Plexus Block On Postoperative Pain In Open AppendicectomyKamalakar Karampudi1 , Kavya Waghray201. Professor , Department of Anesthesiology, Prathima Institute of Medical Sciences, Karimnagar 2. Resident, Department of Anesthesiology, Prathima Institute of Medical Sciences, KarimnagarINTRODUCTION Post operative pain is the most common complaint in post anaesthesia care units (PACU). Lower abdominal surgeries are associated with severe post-operative pain and inadequate post-operative analgesia leads to many complications. Multimodality approach is used to treat postoperative pain. Transversus abdominus plane (TAP) block is a peripheral nerve block of the trunk that provides analgesia between T10 to L1 dermatomes with a single injection which was first described by A.N. Rafi 1 in 2001 . TAP Block is indicated in any lower abdominal surgeries. Local anaesthetic is deposited in the fascial sheath between the internal oblique and transverse abdominis muscle using either the blind or the ultrasound guided technique. Adjuvants are frequently used in regional analgesia for rapid onset to improve the quality and prolong the duration of block. Alpha 2 agonist dexmedetomidine speeds the onset of block and prolongs duration of analgesia. Aim : To assess whether addition of dexmedetomidine to ropivacaine may bring some improvements to the analgesic efficacy and quality of TAP blocks in patients undergoing appendicectomy surgeries . MATERIALS AND METHODS 30 Patients belonging to ASA Class I or II scheduled for appendicectomy were selected for the study . The patients were randomized into two groups: Group R - receiving plain ropivacaine (2ml of normal saline and 20ml 0.2%ropivacaine) Group R+D - receiving ropivacaine with dexmedetomidine (0.5 mcg /kg of dexmedetomidine dissolved in 2ml of normal saline and 20ml 0.2%ropivacaine). At the end of surgery, USG guided transversus abdominus plane block was performed. Results Addition of dexmedetomidine to ropivacine in TAP block lower pain scores after 3hrs in postoperative period and the same trend of analgesia continued for the first 24 hours. It confers better post operative analgesia with less analgesic requirement and adverse effects. Conclusion: The addition of dexmedetomidine to ropivacaine in TAP block confers better pain control and decreases the total dose of analgesics post-operatively without any major side-effectshttps://www.pimr.org.in/2021-vol9-issue-1/originalarticle11_v1.pdfappendicectomydexmededetomidineposto perative analgesiaropivacainetransverse abdominal plain blockultrasound guided |
| spellingShingle | Kamalakar Karampudi1 , Kavya Waghray2 Effect Of Addition Of Dexmedetomidine To Ropivacaine In Ultrasound Guided Transverse Abdominis Plexus Block On Postoperative Pain In Open Appendicectomy Perspectives In Medical Research appendicectomy dexmededetomidine posto perative analgesia ropivacaine transverse abdominal plain block ultrasound guided |
| title | Effect Of Addition Of Dexmedetomidine To Ropivacaine In Ultrasound Guided Transverse Abdominis Plexus Block On Postoperative Pain In Open Appendicectomy |
| title_full | Effect Of Addition Of Dexmedetomidine To Ropivacaine In Ultrasound Guided Transverse Abdominis Plexus Block On Postoperative Pain In Open Appendicectomy |
| title_fullStr | Effect Of Addition Of Dexmedetomidine To Ropivacaine In Ultrasound Guided Transverse Abdominis Plexus Block On Postoperative Pain In Open Appendicectomy |
| title_full_unstemmed | Effect Of Addition Of Dexmedetomidine To Ropivacaine In Ultrasound Guided Transverse Abdominis Plexus Block On Postoperative Pain In Open Appendicectomy |
| title_short | Effect Of Addition Of Dexmedetomidine To Ropivacaine In Ultrasound Guided Transverse Abdominis Plexus Block On Postoperative Pain In Open Appendicectomy |
| title_sort | effect of addition of dexmedetomidine to ropivacaine in ultrasound guided transverse abdominis plexus block on postoperative pain in open appendicectomy |
| topic | appendicectomy dexmededetomidine posto perative analgesia ropivacaine transverse abdominal plain block ultrasound guided |
| url | https://www.pimr.org.in/2021-vol9-issue-1/originalarticle11_v1.pdf |
| work_keys_str_mv | AT kamalakarkarampudi1kavyawaghray2 effectofadditionofdexmedetomidinetoropivacaineinultrasoundguidedtransverseabdominisplexusblockonpostoperativepaininopenappendicectomy |