Efficacy of transversus abdominis plane block with ketamine for inguinal hernioplasty: A controlled study

Diab, Doaa Galal; Roshdy, Hosam

doi:10.4103/1687-7934.139564

Cited by 3 publications

(2 citation statements)

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“…Another study was performed by Diab and Roshdy 10 to detect the effect of TAPB with ketamine for inguinal hernioplasty.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Guided Subcostal Transversus Abdominis Plane Block For Postoperative Analgesia After Laparoscopic Cholecystectomy ( comparative Study Between Bubivacaine Versus Bubivacaine-Ketamine)

Ahmed

2020

Al-Azhar International Medical Journal

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Background: Laparoscopic cholecystectomy is the surgery to remove the gall bladder and is the common treatment of symptomatic gall stone and other GB conditions. Laparoscpic cholecystectomy can be carried out under general anaesthesiathat is often related to chronic postoperative pain. Aim of work: Study Compares between adding ketamine to bupivacaine and bupivacaine alone for postoperative pain in patients undergoing ultrasound guided subcostal transversus abdominis plane block (TAPB) after laparoscopic cholecystectomy; time of first application for extra analgesia, pain Ratings, gross analgesic intake and analgesic effectiveness. Patient and Methods: This research was performed out on 28 patient's ages 30 to 60 years at Al-Azhar University hospital.Class I-II American Anesthesiologist Society (ASA) scheduled for laparoscopic cholecystectomy. Patients were randomized, monitored double blind into two similar groups (fourteen people each). Results: The Comparison between the two studied groups was statistically insignificant according tothe period before first opioids demand, the block lenght, opioids demand, early ambulation, patient's satisfaction and occurrence of vomiting and nausea. As regarding patient complication there was no local anaesthetic toxicity in both groups of hematoma or severe tissue damage at the injection site. Conclusion: Adding of ketamine to bupivacaine in patients with ultrasound-guided subcostal TAPB for laparoscopic cholecystectomy results in statistically insignificant in the following: longer span before first opioid requirement and prolonged block duration, less opioid demand, early ambulation and the patient is being more satisfied.

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“…Another study was performed by Diab and Roshdy 10 to detect the effect of TAPB with ketamine for inguinal hernioplasty.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Guided Subcostal Transversus Abdominis Plane Block For Postoperative Analgesia After Laparoscopic Cholecystectomy ( comparative Study Between Bubivacaine Versus Bubivacaine-Ketamine)

Ahmed

2020

Al-Azhar International Medical Journal

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“…Various adjuvants to local anaesthetics like opioids, ketamine, dexamethasone and alpha-2 agonists like dexmedetomidine have been utilised successfully in peripheral nerve blocks and field blocks to enhance the duration of post-operative analgesia. [ 1 3 4 5 ]…”

Section: Introductionmentioning

confidence: 99%

Analgesic efficacy of dexamethasone versus dexmedetomidine as an adjuvant to ropivacaine in ultrasound-guided transversus abdominis plane block for post-operative pain relief in caesarean section: A prospective randomised controlled study

Singla¹,

Garg²,

Jain³

et al. 2021

Indian Journal of Anaesthesia

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Background and Aims: Transversus abdominis plane (TAP) block is commonly used to treat post-operative pain after lower abdominal surgeries. The aim of this randomised controlled study was to assess the efficacy of addition of dexmedetomidine or dexamethasone to ropivacaine in TAP block and compare the two for post-operative pain relief in caesarean section. Methods: A hundred parturients (18–45 years) undergoing caesarean section under spinal anaesthesia received ultrasound-guided (USG) bilateral TAP block with 50ml of 3mg/kg ropivacaine along with 0.1mg/kg dexamethasone (Group A) or 1μg/kg dexmedetomidine (Group B) in this prospective, randomised, double-blind study. Time to initial self-reporting of post-operative pain, time to first rescue analgesic demand, visual analogue scale (VAS) for pain haemodynamic parameters and adverse effects if any were noted, anda P value < 0.005 was considered as statistically significant. Results: Time to initial self-reporting of post-operative pain (411.35 vs. 338.20 min, P < 0.005) and time to first rescue analgesic (474.30 vs. 407.30 min, P < 0.005) were significantly longer in group B as compared to group A. VAS score at the time of initial self-reporting of pain was significantly lower in group B. No significant haemodynamic changes or side-effects were noted. Conclusion: Addition of dexmedetomidine to ropivacaine as compared with dexamethasone in bilateral TAP block following caesarean section prolongs the time to initial post-operative pain and time to first rescue analgesic consumption.

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Dexamethasone Added to Levobupivacaine in Transversus Abdominis Plain Block Increased the Duration of Postoperative Analgesia After Caesarean Section Deliveries

Patel¹,

Hathiwala²,

Shah³

et al. 2023

ijsr

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Introduction: When Dexamethasone added to local anaesthetics, it can prolong the duration of peripheral blocks. Dexamethasone has a long and efcient glucocorticoid structure and having anti-inammatory properties.The aim of this study is to determine the effect of Dexamethasone on the block duration when added to Levobupivacaine used for transversus abdominis block (TAP) applied to patients who underwent caesarean section. Methods: 28 patients with spinal anaesthesia in an American Society of Anesthesiologists (ASA) I and II Risk group were included in the study and divided into two groups. Bilateral 30ml 0.25% Levobupivacaine and 2 ml 0.9% NaCl for the Levobupivacaine group and bilateral 30 ml 0.25% Levobupivacaine and 2 ml Dexamethasone (8mg) for the Dexamethasone group were administered in a TAP block performed. The time need for the rst analgesic in the postoperative period was recorded. The time before Result: the administration of the rst additional analgesic dose was prolonged signicantly in the Dexamethasone group in compared to Levobupivacaine group. The Conclusion: utilization of Dexamethasone, which has a prolonging effect on the TAP block, may be alternative to epidural opioid analgesia in caesarean section.

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Efficacy of transversus abdominis plane block with ketamine for inguinal hernioplasty: A controlled study

Cited by 3 publications

References 0 publications

Ultrasound Guided Subcostal Transversus Abdominis Plane Block For Postoperative Analgesia After Laparoscopic Cholecystectomy ( comparative Study Between Bubivacaine Versus Bubivacaine-Ketamine)

Ultrasound Guided Subcostal Transversus Abdominis Plane Block For Postoperative Analgesia After Laparoscopic Cholecystectomy ( comparative Study Between Bubivacaine Versus Bubivacaine-Ketamine)

Analgesic efficacy of dexamethasone versus dexmedetomidine as an adjuvant to ropivacaine in ultrasound-guided transversus abdominis plane block for post-operative pain relief in caesarean section: A prospective randomised controlled study

Dexamethasone Added to Levobupivacaine in Transversus Abdominis Plain Block Increased the Duration of Postoperative Analgesia After Caesarean Section Deliveries

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