Anesthesia: Essays and Researches

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 11  |  Issue : 2  |  Page : 376--379

A comparative study of analgesic efficacy of intrathecal buprenorphine with ultrasound-guided transversus abdominis plane block for postcesarean delivery analgesia


Prakash Marappa, Manjunath Abloodu Chikkapillappa, Nagaraj Mungasuvalli Chennappa, Vinayak Seenappa Pujari 
 Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka, India

Correspondence Address:
Manjunath Abloodu Chikkapillappa
Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka
India

Background: Women undergoing cesarean (CS) delivery present a unique set of challenges to the anesthetist in terms of postoperative pain management. This study was conducted to compare the analgesic efficacy of intrathecal buprenorphine (ITB) with ultrasound-guided transversus abdominis plane (TAP) block in post-CS delivery pain. Methodology: A prospective randomized comparative study of sixty American Society of Anesthesiologists physical status I and II pregnant patients divided into two groups of thirty each as ITB group and TAP block group after satisfying the inclusion criteria. Results: In the present study, demographic data were comparable between both groups. The time to first analgesic request was significantly longer in ITB group (389.67 ± 90.78 min) compared to TAP group (669.17 ± 140.65 min) and was statistically significant, P< 0.001. The mean paracetamol consumption in the first 24 h was higher in the TAP group (3.5 g) compared to the ITB group (1.13 g) and was statistically significant, P< 0.0001, and the mean tramadol consumed in first 24 h was higher in the TAP (46.66 mg) group as compared to the ITB group (16.66 mg) and was statistically significant, P< 0.001. The mean visual analog scale scores assessed at 4, 6, 12, and 24 h was higher in the TAP group and was statistically significant, P< 0.001. Conclusions: Our study showed that patients receiving ITB for post-CS pain management reported longer duration of analgesia, lower pain scores, and lower analgesic consumption during the first 24 h. The benefits of neuraxial opiates are significant and far outweigh the side effects.


How to cite this article:
Marappa P, Chikkapillappa MA, Chennappa NM, Pujari VS. A comparative study of analgesic efficacy of intrathecal buprenorphine with ultrasound-guided transversus abdominis plane block for postcesarean delivery analgesia.Anesth Essays Res 2017;11:376-379


How to cite this URL:
Marappa P, Chikkapillappa MA, Chennappa NM, Pujari VS. A comparative study of analgesic efficacy of intrathecal buprenorphine with ultrasound-guided transversus abdominis plane block for postcesarean delivery analgesia. Anesth Essays Res [serial online] 2017 [cited 2020 Nov 25 ];11:376-379
Available from: https://www.aeronline.org/article.asp?issn=0259-1162;year=2017;volume=11;issue=2;spage=376;epage=379;aulast=Marappa;type=0