DOI: 10.36347/sjams.2018.v06i01.025

Pages: 119-122

Recently the transversus abdominis plane (TAP) block is widely used block to provide adequate post-operative analgesia to the anterior abdominal wall. We evaluated the analgesic efficacy of the transversus abdominis plane block using bupivacaine in patients undergoing caesarean section. 100 patients posted for elective and emergency caesarean section were randomized to two groups of 50 each.All patients were given TAP block with bupivacaine All patients received spinal subarachnoid block. After completion of surgery bilateral TAP block (ultrasound guided) was performed using30 ml of 0.25% bupivacaine or saline on each side. Each patient in both groups were assessed postoperatively by a blinded investigator in the postanaesthesia care unit at 2, 4, 6, 12, 24, 36, 48 h postoperatively. The transversus abdominis plane block using bupivacaine decreased the postoperative visual analogue scale pain scores in comparison to placebo block. Amount of rescue analgesia required and incidence of postoperative nausea and vomiting was found less with transversus abdominis plane block. Post-operative transversus abdominis plane block with bupivacaine decreased post-operative analgesia requirements and provided effective postoperative prolonged analgesia.