Assessment of the

Background: Transversus abdominis plane (TAP) block provides sensory block from T6 to L1. It is one of the most widely used regional analgesic techniques and important component of multimodal approach for postoperative analgesia in multiple lower abdominal surgeries. Objective: To compare between th...

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Main Author: Ahmed Zein El Abdein Mohamed
Format: Article
Language:English
Published: Taylor & Francis Group 2016-07-01
Series:Egyptian Journal of Anaesthesia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1110184916300204
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author Ahmed Zein El Abdein Mohamed
author_facet Ahmed Zein El Abdein Mohamed
author_sort Ahmed Zein El Abdein Mohamed
collection DOAJ
description Background: Transversus abdominis plane (TAP) block provides sensory block from T6 to L1. It is one of the most widely used regional analgesic techniques and important component of multimodal approach for postoperative analgesia in multiple lower abdominal surgeries. Objective: To compare between the analgesic potency of ropivacaine 0.2% and ropivacaine 0.5% when used in transversus abdominis plane (TAP) block for post operative analgesia after cesarean delivery. Patients and methods: Fifty parturients with American society of Anesthesiologists Physical Status I or II aged between 25 and 35 years undergoing cesarean delivery with general anesthesia were included in this prospective, randomized, double blind study. They were randomly divided into 2 groups according to the concentration of ropivacaine used in TAP block. The 1st group received bilateral 20 ml of 0.2% ropivacaine while the 2nd received the same volume of 0.5% ropivacaine at the end of the surgery. Intensity of postoperative pain at rest and during movement, time to 1st analgesic request, total dose of tramadol used, time to 1st mobilization from bed, parturients satisfaction of pain management, and complications of TAP block were recorded. Results: Visual Analogue Scale (VAS) at rest and during movement, time to 1st analgesic request, total dose of tramadol, time to 1st mobilization from bed, patients satisfaction of pain management were comparable between the two groups. Conclusion: Ropivacaine 0.2% when used in TAP block provided postoperative analgesia similar to ropivacaine 0.5% in TAP block after cesarean delivery.
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spelling doaj.art-452b675857964e40923a4557ebd246912022-12-21T19:27:14ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492016-07-0132338539010.1016/j.egja.2016.03.003Assessment of theAhmed Zein El Abdein MohamedBackground: Transversus abdominis plane (TAP) block provides sensory block from T6 to L1. It is one of the most widely used regional analgesic techniques and important component of multimodal approach for postoperative analgesia in multiple lower abdominal surgeries. Objective: To compare between the analgesic potency of ropivacaine 0.2% and ropivacaine 0.5% when used in transversus abdominis plane (TAP) block for post operative analgesia after cesarean delivery. Patients and methods: Fifty parturients with American society of Anesthesiologists Physical Status I or II aged between 25 and 35 years undergoing cesarean delivery with general anesthesia were included in this prospective, randomized, double blind study. They were randomly divided into 2 groups according to the concentration of ropivacaine used in TAP block. The 1st group received bilateral 20 ml of 0.2% ropivacaine while the 2nd received the same volume of 0.5% ropivacaine at the end of the surgery. Intensity of postoperative pain at rest and during movement, time to 1st analgesic request, total dose of tramadol used, time to 1st mobilization from bed, parturients satisfaction of pain management, and complications of TAP block were recorded. Results: Visual Analogue Scale (VAS) at rest and during movement, time to 1st analgesic request, total dose of tramadol, time to 1st mobilization from bed, patients satisfaction of pain management were comparable between the two groups. Conclusion: Ropivacaine 0.2% when used in TAP block provided postoperative analgesia similar to ropivacaine 0.5% in TAP block after cesarean delivery.http://www.sciencedirect.com/science/article/pii/S1110184916300204RopivacaineTransversus abdominis plane (TAP) blockCesarean delivery
spellingShingle Ahmed Zein El Abdein Mohamed
Assessment of the
Egyptian Journal of Anaesthesia
Ropivacaine
Transversus abdominis plane (TAP) block
Cesarean delivery
title Assessment of the
title_full Assessment of the
title_fullStr Assessment of the
title_full_unstemmed Assessment of the
title_short Assessment of the
title_sort assessment of the
topic Ropivacaine
Transversus abdominis plane (TAP) block
Cesarean delivery
url http://www.sciencedirect.com/science/article/pii/S1110184916300204
work_keys_str_mv AT ahmedzeinelabdeinmohamed assessmentofthe