scholarly journals Relative efficacy of ultrasound-guided ilioinguinal-iliohypogastric nerve block versus transverse abdominis plane block for postoperative analgesia following lower segment cesarean section: A prospective, randomized observer-blinded trial

2017 ◽  
Vol 11 (3) ◽  
pp. 713 ◽  
Author(s):  
T Sivashanmugam ◽  
LVamsee Kiran ◽  
VR. Hemanth Kumar ◽  
N Krishnaveni ◽  
S Parthasarathy
Keyword(s):  
Cesarean Section ◽  
Nerve Block ◽  
Postoperative Analgesia ◽  
Relative Efficacy ◽  
Ultrasound Guided ◽  
Lower Segment ◽  
Lower Segment Cesarean Section ◽  
Transverse Abdominis ◽  
Blinded Trial

scholarly journals Comparison of dexmedetomidine and fentanyl as adjuvant to intrathecal levobupivacaine in lower segment cesarean section: A prospective, randomized double blind study

2020 ◽  
Vol 24 (4) ◽  
Author(s):  
Kapil Rastogi ◽  
Alok Kumar Bharti ◽  
Yashpal Singh ◽  
Pushkar Ranjan
Keyword(s):  
Cesarean Section ◽  
Postoperative Analgesia ◽  
Local Anesthetic ◽  
Safety Profile ◽  
Blind Study ◽  
Double Blind Study ◽  
Lower Segment ◽  
Double Blind ◽  
Lower Segment Cesarean Section

Intrathecal Bupivacaine is most commonly used local anesthetic for lower segment cesarean section (LSCS) but there is constant endeavour for search of a local anesthetic (LA) which has improved safety profile for mother as well as foetus. So far many adjuvants like fentanyl, morphine or tramadol etc. has been used with intrathecal LA to prolong intraoperative anesthesia and postoperative analgesia.

Lower Segment Cesarean Section for Guillain- Barre Syndrome - A Novel Anaesthetic Technique

2021 ◽  
Vol 6 (1) ◽  
pp. 1346-1351
Author(s):  
Rupak Bhattarai ◽  
Sabina Lamichhane ◽  
Chitta Ranjan Das
Keyword(s):  
Cesarean Section ◽  
Nerve Block ◽  
Rectus Sheath ◽  
Operating Conditions ◽  
Guillain Barre Syndrome ◽  
Lower Segment ◽  
Neuraxial Block ◽  
Lower Segment Cesarean Section ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

Introduction: Guillain Barre Syndrome in pregnant ladies, undergoing cesarean section, has not yet reported in Nepal. Anaesthetic management of 15 patients with Guillain Barre Syndrome who underwent lower segment cesarean section at Nobel Medical College Teaching Hospital is reported here. Objective: The purpose of this study is to assess the benefits of Rectus sheath nerve block along with infiltration of retropubic space of Retzius in Guillain Barre syndrome patients planned for lower segment cesarean section (LSCS). Methodology: During the period from 1st August 2015 to 31st April 2020 at NMCTH, a retrospective descriptive analysis of 15 pregnant ladies with Guillain Barre Syndrome who underwent lower segment cesarean section under Rectus sheath nerve block along with Retro pubic space of Retzius, infiltration and visceral peritoneum infiltration is discussed. Result: Considering Surgeons opinion about the operating conditions like Relaxation, Straining, Coughing, Bucking, Satisfactory to good operative conditions were reported. Excellent to good satisfaction was expressed by 39.9% of patients, 60% patients reported satisfactory. Hypotension and Arrhythmias was seen in 2 patients. Diaphoresis was seen in 1 patient. Fetomaternal outcome was good. There was no mortality. Conclusion: Rectus sheath block along with infiltration of retro pubic space of Retzius block can be considered as a good alternative to general anaesthesia or neuraxial block incase where general anesthesia & neuraxial block is risky or contraindicated for lower segment cesarean section in patients with Guillain Barre Syndrome. 

scholarly journals A comparative study of bilateral ilioinguinal and iliohypogastric nerve block for postoperative analgesia in lower segment cesarean section

2018 ◽  
Vol 4 (2) ◽  
pp. 81-86
Author(s):  
Anjali Poudel ◽  
Prashant Kumar Dutta
Keyword(s):  
Comparative Study ◽  
Nerve Block ◽  
Postoperative Analgesia ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
College Teaching ◽  
Lower Segment ◽  
Lower Segment Cesarean Section ◽  
Numerical Rating ◽  
Group B

Background: Modern techniques incorporate regional anesthesia in pain management and it is the best and safest technique. It avoids the side effects that remain with the traditional use of opioids. Ilioinguinal and iliohypogastric nerve block can provide a satisfactory postoperative analgesia in parturients with pfannenstiel incision thereby reducing postoperative opioid consumption.Objective: To compare opioid consumption and pain relief postoperatively with ilioinguinal and iliohypogastric nerve block in patients undergoing lower segment cesarean section.Methods: It is a hospital based comparative study done in Nepalgunj Medical College Teaching Hospital, Kohalpur, Banke in a period of one year. Total of sixty patients, thirty in each were randomly allocated into the two groups. Group B received bilateral ilioinguinal and iliohypogastric nerve block by landmark technique with 20ml of 0.5% bupivacaine; 10ml in each side. Group NS received ilioinguinal and iliohypogastric nerve block with 20ml of 0.9% normal saline. In postoperative period blood pressure, pulse, oxygen saturation, numerical rating scale score at different allocated duration, total dose of tramadol consumption and time to first dose of tramadol were recorded.Results: The total postoperative tramadol consumption in the first 24hr postoperatively was significantly less in group B (125 ± 34.11mg) than in group NS (205 ±37.93mg). The mean effective duration of analgesia measured from the time of onset of spinal blockade to the time of request for tramadol was 264 ±78.27 minutes in group B and 178.17±30.61minutes in group NS, which was statistically significant and also numerical rating scale scores were low at all points postoperatively in group B.Conclusion: Bilateral ilioinguinal and iliohypogastric nerve block significantly lowers the consumption of tramadol and also provides adequate postoperative pain relief.Journal of Society of Anesthesiologists of NepalVol. 4, No. 2, 2017, page: 81-86

scholarly journals Ultrasound Guided Femoral Nerve Block with Bupivacaine versus Bupivacaine and Tramadol for Postoperative Analgesia in Patients Undergoing Total Knee Arthroplasty under Spinal Anesthesia

2021 ◽  
pp. 23-32
Author(s):  
Mohammad Mostafa Abo Farrag ◽  
Laila Elahwal ◽  
Hesham Mohammad Maroof ElDomairy ◽  
Mohammad Ibrahem Okab
Keyword(s):  
Total Knee Arthroplasty ◽  
Spinal Anesthesia ◽  
Nerve Block ◽  
Knee Arthroplasty ◽  
Postoperative Analgesia ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Ultrasound Guided ◽  
Group I ◽  
Total Knee

Background: Effective pain control in Total knee arthroplasty (TKA) is important for optimizing the rehabilitation process in order to achieve patient satisfaction with a good functional outcome as well as reduce hospitalization duration and costs. Combined use of aesthetic with tramadol has been reported to achieve a longer duration of sensory and motor block. The aim of this study is to evaluate the quality and duration of postoperative analgesia produced by ultrasound guided femoral nerve block (FNB) by bupivacaine versus (bupivacaine & tramadol) in patients undergoing total knee arthroplasty under spinal anesthesia. Methods: This prospective randomized controlled double blinded study was carried out on 60 patients aged above 50 years; American Society of Anesthesiologists physical status (ASA) I-III scheduled for total knee arthroplasty under spinal anesthesia. Patients were randomized to one of two equal groups: Group I control (C): received FNB with 30 ml 0.25% bupivacaine. Group II tramadol (T): received FNB with 30ml 0.25% bupivacaine and 100 mg tramadol. Results: Postoperative heart rate was significantly increased in group C than group T at 8h, 12h, 16h and 24h. Postoperative mean arterial blood pressure was significantly increased in group C than group T at 6h, 8h, 12h, 16h and 24h. There were 30 (100%) patients required rescue analgesia in group C and 19 (63.33%) patients in group T which was increased significantly in group C than group T. The time to first analgesic requirement was significantly decreased in group C than group T. Total morphine consumption was increased significantly in group C than group T. VAS was increased significantly in group C than group T at 6, 8, 12, 16 and 24 hours. Adverse effects were insignificantly different between both groups. Conclusion: Adding tramadol (100 mg) to 0.25% bupivacaine (to a volume of 30 ml) during US guided FNB of TKA under spinal anesthesia was associated with better postoperative analgesia when compared with 0.25% bupivacaine alone.

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