Dr. K.K. Arora, Dr. Neetu Gupta, Dr. Nidhi Sharma


INTRODUCTION: Pain is the most disturbing and feared factor during and after surgery. Many drugs are used to provide post-operative analgesia and none are free of side effects. Newer among the analgesic technique is transversus abdominis plane block (TAP block) with comparatively lesser side effects and better efficacy and simplicity in procedure than pharmacological agents.

MATERIALS AND METHODS:90 female patients of ASA grade 1 and 2 undergoing cesarean section after taking ethics committee approval were randomly divided into three groups with N=30 in each group. In group R- 20 ml of 0.25% Ropivacaine hydrochloride, in group L- 20 ml of 0.25% levobupivacaine and in group S- 20ml of normal saline was given through TAP block after completion of surgery. VAS score, time of rescue analgesia and total drug consumption was assessed in all the patients at 5min, 10min, 15min, 30min, 1 hour, 4 hr, 8hr, 12 and 24 hour.

RESULTS: VAS score in Group L was 5.04±0.24, in group R was 5.69±0.08 and in group S was 6.78±0.28. Similarly time of rescue analgesia in group L, R and S was 220±15.00, 148±56.73 and 17±10.14 respectively. Total amount of analgesic consumption in group L, R and S was 234±44.98, 324±12.66 and 402±21 respectively. Above results showed analgesia efficacy of levobupivacaine and ropivacaine as analgesic when used in TAP block and also showed levobupivacaine to be better analgesic then ropivacaine.

CONCLUSION: levobupivacaine is better than ropivacaine for post-operative analgesia when used in TAP block.

KEYWORDS: Analgesia, Levobupivacaine, Ropivacaine, Transversus abdominis plane block.

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