@article{Paul_Banik_Alam_2016, title={TAP Block in Postoperative Analgesia, A First Time Clinical Trial In Bangladesh}, volume={27}, url={https://www.banglajol.info/index.php/JBSA/article/view/28992}, DOI={10.3329/jbsa.v27i1.28992}, abstractNote={<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>TAP block prolonged the mean time of 1<sup>st</sup> required I/V morphine (TAP vs control, mean±SD 271.23±40.34 vs 195.33±22.16 min., p=0.001<sup>HS</sup>). Morphine requirement was also reduced (17.4±5.4 vs 26.2±4.4 mg, p=0.001<sup>HS</sup>). 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.</p><p><strong>Conclusion: </strong>TAP block provided considerably effective postoperative analgesia in first 24 hours after major abdominal surgery like TAH.</p><p>Journal of Bangladesh Society of Anaesthesiologists 2014; 27(1): 3-11</p>}, number={1}, journal={Journal of the Bangladesh Society of Anaesthesiologists}, author={Paul, Bidhan and Banik, Debashis and Alam, AKM Shamsul}, year={2016}, month={Jul.}, pages={3–11} }