Affiliation:
1. Post Graduate. Department of Anaesthesiology, GRMC, Gwalior*Corresponding Author
2. Associate Professor. Department of Anaesthesiology, GRMC, Gwalior
3. Assistant Professor. Department of Anaesthesiology, GRMC, Gwalior
4. Professor and Head of department, Department of Anaesthesiology, GRMC, Gwalior
Abstract
NTRODUCTION- Postoperative pain is literally a form of acute pain which follows surgical insult with an inammatory reaction and initiation
of an afferent neuronal signal bombardment. Due to inadequate management of postoperative pain many patients continue to suffer unnecessarily.
Hence it is understood that managing the post operative pain effectively is the need of the hour to reduce postoperative morbidity. AIMS - To
evaluate and compare the duration of sensory blockade of 0.25% levobupivacaine with and without dexamethasone in ultrasonography-guided
transversus abdominis plane(TAP) block. METHODS-After obtaining approval from Institutional ethical committee, a prospective randomized
comparative study was carried out in 60 patients of ASA Grade I & II undergoing inguinal hernia repair under spinal anaesthesia. Patients were
randomly divided into 2 groups; Group L(n=30) received 30ml of 0.25% Levobupivacaine with 2ml of Normal saline (NS) while Group D (n=30)
received 30ml of 0.25% Levobupivacaine with 8mg Dexamethasone. RESULTS- Patients in group D (8.07±1.34 hr) had prolonged duration of
analgesia in comparison to group L (5.33±1.92 hr) (p= 0.000). CONCLUSION- In the inguinal hernia repair surgeries performed under spinal
anaesthesia with ultrasonography-guided TAP block, addition of dexamethasone was superior to levobupivacaine alone in providing better and
prolonged post-operative analgesia with minimal post-operative nausea and vomiting
Subject
General Agricultural and Biological Sciences,Philosophy,Classics,Physical and Theoretical Chemistry,Mechanical Engineering,General Chemical Engineering,Infectious Diseases,Cell Biology,Cellular and Molecular Neuroscience,Biochemistry,Law,Social Sciences (miscellaneous),History,General Economics, Econometrics and Finance,Business and International Management,Mechanical Engineering,Ocean Engineering,Aerospace Engineering,Condensed Matter Physics,Nuclear Energy and Engineering,Civil and Structural Engineering,Statistical and Nonlinear Physics,Statistics and Probability,Industrial and Manufacturing Engineering,Management Science and Operations Research,Statistics, Probability and Uncertainty,Statistics and Probability