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Assessing the Effectiveness of ultrasound guided Transversus Abdominis Plane Block for Pain Management in Cesarean Delivery Patients

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Dr Palvi Atri, Dr Saima Kabir, Dr Sheikh Abdul Mannan, Dr Huma, Dr Shivangi Kalsotra, Dr Ayushi Bhushan
» doi: 10.31838/ecb/2023.12.Si6.017


The ultrasound guided (USG) transverses abdominis plane (TAP) block is a regional anaesthetic technique that can provide effective pain relief by blocking the cutaneous nerves supplying the anterior abdominal wall. This study aims to assess the efficacy of USG guided TAP block in providing post operative pain relief for patients undergoing cesarean delivery, as well as the ease of performance of the technique and patient satisfaction with the analgesia provided. Methods: This is a hospital based prospective comparative study that spanned over a period of four months, commencing from December 2022 to March 2023. The study was conducted at SKIMS Medical College, Bemina Srinagar and involved 110 women undergoing cesarean delivery (CD), with 55 receiving a USG TAP block and 55 in a control group receiving routine analgesia. Twenty milliliters of 0.25% ropivacaine was injected in the transverses abdominis neuro fascial plane, on either side. VAS scores for pain were monitored for 24 hours, and time to first rescue analgesia and total dose of analgesics were recorded. Results: In Group A, the mean VAS score was significantly lower than in Group B at all-time intervals (p<0.05), indicating the effectiveness of the USG TAP block in reducing postoperative pain. The mean time to first rescue analgesia was significantly longer in Group A (11.4 hours) than in Group B (3.9 hours), and the mean consumption of analgesics was significantly lower in Group A (1.3 g) than in Group B (2.7 g),both with p<0.001. Patients in Group A also reported significantly higher satisfaction with postoperative pain management than those in Group B, with a mean score of 8.13 compared to 6.95, respectively (p<0.001).Conclusion: USG TAP block is effective in reducing postoperative pain and analgesic consumption in Caesarean delivery patients. It leads to lower VAS scores, longer time to first rescue analgesia, and higher patient satisfaction levels. TAP block can be considered as a reliable option for postoperative pain management in such patients.

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