Postoperative analgesic efficacy of bupivacaine with hyalourindase in TAP block for lower abdominal surgeries | ||||
| Sohag Medical Journal | ||||
| Article 35, Volume 21, Issue 3, October 2017, Page 295-300 PDF (63.69 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/smj.2017.40737 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Salah Mohaned; Fawzy Badawi; Haitham Mohamed Ali; Ghada Refat | ||||
| Department of, anesthesia & ICU, fuclty of Medicine, Sohag university. | ||||
| Abstract | ||||
| Aim : To evaluate the effect of addding hyalourindase to bupivacaine in TAP block for lower abdominal surgeries as postoperative analgesia. Methods : fifty patients aged between 20- 60 years who were scheduled for lower abdominal surgeries included in the study and divided into two groups,after approval of ethical committee.This study conducted in Sohag university hospitals from September 2016 to March 2017. Patients were divided into two equal groups and all received spinal anesthesia :-(Group A) 25 patients received 20 ml bupivacaine injected in the plane between internal oplique and transversus abdominis musceles.(Group B) 25 patients received 20 ml bupivacaine added to 750 unit hyalourindase. Patients were monitored for heart rate NIBP and oxygen saturation .In post –anesthesia care unit patients were asked to assess their level of pain based on visual analog scale (VAS) , complications also were observed . Results : Our study showes that addition of hyalourindase to bupivacaine for TAP block resulted in significant reduction in VAS pain score over the post operative 24hrs and reduction of post operative morphine requirments . | ||||
| References | ||||
|
2372.
2-AN Rafi, Abdominal Field Block: a New Approach Via The Lumbar Triangle; Anaesthesia; 2001; 56:1024-6.
3- JG McDonnell, BD O’Donnell, D Tuite, T Farrell, C Power, The Regional Abdominal Field Infiltration Technique Computerised Tomographic and Anatomical Identification of a Novel Approach to the Transversus Abdominis Neuro-Vascular Fascial Plane; Anaesthesiology; 2004; 101: A899.
4- P Hebbard, Y Fujiwara, Y Shibata, C Royse. Ultrasound Guided Transversus Abdominis Plane Block. Anaesthesia & Intensive Care; 2007; 35(4): 616-7.
5-Marret E, Kurdi O, Zufferey P, Bonnet F: Effects of nonsteroidalantiinflammatory drugs on patient-controlled analgesia morphine sideeffects: meta-analysis of randomized controlled trials. Anesthesiology 2005,102:1249–1260.
6- Tandoc MN,Fan L,Kolesnikov S ,Kruglov A ,Nader ND .Adjuvant dexamethasone with bupivacaine prolonges the duration of block :prospective randomized trial. J Anesth .2011;25(5):704-709 .
7- Stern R, Jedrzejas MJ. Thehyaluronidases: their genomics, structures, andmechanisms of action. Chem Rev 2006;106:818–39.
8- Roberts JE, MacLeod BA, Hollands RH. Improved peribulbar anaesthesia withalkalinization and hyaluronidase. Can Anaesth 1993;40:835–8.
9-Atkinson WS. Use of hyaluronidase with local anaesthesia in ophthalmology;preliminary report. Arch Opthalmol 1949;42:628–33.
10- Carney J, Finnerty O, Rauf J, et al. Studies on the spread of local anaesthetic
solution in transversus abdominis plane blocks. Anaesthesia 2011;66:1023–30.
11- AN Rafi, Abdominal Field Block: a New Approach Via The Lumbar Triangle; Anaesthesia; 2001;56:1024-
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