TAP Block in Postoperative Analgesia, A First Time Clinical Trial In Bangladesh

  • Bidhan Paul Junior Consultant, Zilla Sadar Hospital, Cox?s bazar, Chittagong
  • Debashis Banik Associate Professor, Department of Anesthesia, Analgesia and Intensive Care Medicine, BSMMU, Dhaka
  • AKM Shamsul Alam Professor, Department of Anesthesia, Chittagong Medical College and Hospital, Chittagong
Keywords: Postoperative analgesia, TAP block, LTOP, 0.25% levobupicaine, VAS score

Abstract

Background: In perioperative care, a reliable pain management is a vital appeal. Over recent years, Transversus Abdominis Plane (TAP) block is introduced as an important component of multimodal analgesia.

Objective: To evaluate efficacy of TAP block in postoperative analgesia for Total Abdominal Hysterectomy (TAH) with subarachnoid block (SAB) in comparison of morphine consumption and VAS score.

Methods: 60 patients were randomly allocated into 2 groups (TAP group-A & control group-B). Standard SAB was applied to all patients for elective TAH. Immediate after operation classical TAP block was performed through both Lumber Triangle Of Petit (LTOP) of group A patients. Both groups were placed in Post Anesthesia Care Unit (PACU), arranged a common standard postoperative analgesic regimen for all, observed periodically and documented it accordingly in pre-designed data sheet.

Results: TAP block prolonged the mean time of 1st required I/V morphine (TAP vs control, mean±SD 271.23±40.34 vs 195.33±22.16 min., p=0.001HS). Morphine requirement was also reduced (17.4±5.4 vs 26.2±4.4 mg, p=0.001HS). Pain VAS scores at rest and movement were also reduced at all time period (p? 0.01 to 0.001). There was no complication attributed to the TAP block.

Conclusion: TAP block provided considerably effective postoperative analgesia in first 24 hours after major abdominal surgery like TAH.

Journal of Bangladesh Society of Anaesthesiologists 2014; 27(1): 3-11

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Author Biography

Bidhan Paul, Junior Consultant, Zilla Sadar Hospital, Cox?s bazar, Chittagong


Published
2016-07-30
How to Cite
Paul, B., Banik, D., & Alam, A. (2016). TAP Block in Postoperative Analgesia, A First Time Clinical Trial In Bangladesh. Journal of the Bangladesh Society of Anaesthesiologists, 27(1), 3-11. https://doi.org/10.3329/jbsa.v27i1.28992
Section
Original Articles