ULTRASOUND GUIDED TRANSVERSE ABDOMINIS PLANE BLOCK USING BUPIVACAINE VERSUS LEVOBUPIVACAINE IN LOWER ABDOMINAL SURGERY

Abstract

Background & Method: This Study was directed with a point ultrasound directed cross over abdominis plane square utilizing bupivacaine versus levobupivacaine in lower stomach a medical procedure in 60 cases going through lower stomach a medical procedure.

Sixty patient fulfilling the incorporation rules were remembered for the examination, in the wake of getting educated assent from the patients. They were arbitrarily assigned into two gatherings, Group An and Group B, with 30 patients in each, utilizing PC dispensed arbitrary numbers.

All systems performed under aseptic conditions. The direct ultrasound transducer was utilized to imagine the Transverse abdominis plane. After consummation of the surgery, we put ultrasound-directed Transversus abdominis plane square by the parallel methodology. Patients were stirred and extubated after the inversion of muscle relaxants and moved to the post-sedation care unit.

Result: In the group-A males were 53.4% while the proportion of females was 46.6%.In the group-B males were 43.3% while the proportion of females was 56.7%. No significant difference was found in the proportion of males & females between the two groups (p=0.562).

Rescue analgesia was required at 6 hr and onwards. At 6 hr and 12 hr the required proportion in group B was more than the group L and the di?erence in proportion at 12 hr was found to be significant (p=0.043).

The mean time of Post Op analgesia started in group A was 8.59±2.34 hr while in group B the mean Post Op analgesia started was 10.91±1.46 hr. The significant di?erence in mean time of Post Op analgesia started was found between the groups (p=0.047).

Conclusion: Levobupivacaine had more decrease of post usable agony than bupivacaine. Levobupivacaine had beginning stage of impact than bupivacaine, it possessed taken more energy for first absense of pain require postoperatively. It is presumed that, ultrasound directed transversus abdominus plane square utilizing levobupivacaine in lower stomach a medical procedure serves a decent option to bupivacaine in TAP block in longer impact ,beginning stage of impact and longer span of impact.

Keywords: ultrasound, abdominis, bupivacaine, levobupivacaine & abdominal surgery.

Study Designed: Comparative Study.