A comparative study between tranversus abdominis block with 0.25% bupivacaine versus local infiltration with 0.25% bupivacaine for postoperative analgesia in lower abdominal surgeries
Background: Adequate post operative analgesia is essential part of holistic care in patients undergoing any surgeries. Adequate management of pain is associated with lesser hospital stay and better patient satisfaction. Various methods of regional analgesic techniques are in use today for management of post operative pain. Methods: A total of 90 patients were included in this study and equally divided in to two groups of 45 each. One group received TAP block using 0.25% Bupivacaine various second group received local infiltration of surgical wound with 0.25% bupivacaine. Patients of either gender between 18 to 65 years, having ASA grade I or II were included in the study. Visual analogue scale was evaluated at 2 hours, 4 hours, 12 hours and 24 hours post operatively. Any adverse event or hemodynamic instability was noted. Results: Patients who received TAP block using 0.25% Bupivacaine had significantly better pain scores at 2nd, 4th, 12th and 24th hour post operatively. There were no serious adverse events noted in any of the procedure. There was no significant difference in hemodynamic parameters in both the groups. Conclusion: TAP block using 0.25% Bupivacaine can be a useful technique in management of pain post operatively in patients undergoing lower abdominal surgeries.