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Comparison of Efficacy of Bupivacaine with Dexmedetomidine Versus Bupivacaine Alone for Transversus Abdominis Plane Block for Post-operative Analgesia in Patients Undergoing Elective Caesarean Section

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Abstract

Background

Increasing rate of Caesarean sections and inadequate pain relief following Caesarean section is seen in almost all parts of the world. Transversus abdominis plane block is gaining popularity as a part of multimodal analgesia for post-operative pain relief following abdominal surgeries.

Aim

To compare bupivacaine and bupivacaine with dexmedetomidine in transversus abdominis plane block for pain relief after Caesarean section.

Method

American Society of Anaesthesiologists I and II parturients with no comorbidities admitted for elective Caesarean section were included in the study. Thirty-five patients were in each study (with dex) and control (without dex) groups. At the end of Caesarean section done under spinal anaesthesia, transversus abdominis plane block was done bilaterally under ultrasound guidance using in-plane technique of needle insertion. 20 ml of 0.25% bupivacaine with 0.5 mcg/kg of dexmedetomidine in the study group and 20 ml of 0.25% bupivacaine in the control group were injected in the neurovascular plane.

Results

Eight patients from the study group and 15 from the control group were given opioids as rescue analgesia. The average time at which rescue analgesia was first sought was 14.25 and 7.73 h in the study and control groups, respectively. The P value of this difference was 0.0136 and was found to be statistically significant.

Conclusion

The addition of dexmedetomidine to bupivacaine in TAP block prolonged the duration of time at which first dose of rescue analgesia was sought and also reduced the total dose of opioid requirement in the first 24-h post-Caesarean section.

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Authors and Affiliations

  1. Department of Anaesthesiology, Sri Ramakrishna Hospital, 394, Sarojini Naidu road, Siddhapudur, Coimbatore, 641044, India

    A. Ramya Parameswari & Prabha Udayakumar

Authors
  1. A. Ramya Parameswari
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  2. Prabha Udayakumar
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Corresponding author

Correspondence to A. Ramya Parameswari.

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Conflict of interest

Authors declare that they have no conflict of interest.

Ethical approval

Institutional ethical committee clearance was obtained. None of the patients in the study group had any adverse effect due to the addition of dexmedetomidine.

Additional information

Dr. A. Ramya Parameswari is a Consultant Anaesthesiologist at Sri Ramakrishna Hospital, Coimbatore.

Dr. Prabha Udayakumar is the Head of Department of Anaesthesia, Sri Ramakrishna Hospital, Coimbatore.

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Ramya Parameswari, A., Udayakumar, P. Comparison of Efficacy of Bupivacaine with Dexmedetomidine Versus Bupivacaine Alone for Transversus Abdominis Plane Block for Post-operative Analgesia in Patients Undergoing Elective Caesarean Section. J Obstet Gynecol India 68, 98–103 (2018). https://doi.org/10.1007/s13224-017-0990-7

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  • DOI: https://doi.org/10.1007/s13224-017-0990-7

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