Indian Journal of Anaesthesia

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 65  |  Issue : 4  |  Page : 316--320

A randomised comparative study of transversus abdominis plane block with or without intravenous diclofenac sodium as a component of multimodal regimen for post-operative analgesia following caesarean section


Bhati Kanta, Dhawan Sonali, Parveen Gazala, Khilji Yunus, Kuraning Kiran 
 Department of Anaesthesia, S.P. Medical College and A.G. of Hospitals, Bikaner, Rajasthan, India

Correspondence Address:
Parveen Gazala
Lane No. 18, Rampura, Lalgarh, Bikaner, Rajasthan
India

Aims: Post-operative analgesia is a major component of perioperative care. An ideal method of pain relief after caesarean section should be cost-effective and safe for mother and baby. This study aims to evaluate the analgesic efficacy of transversus abdominis plane (TAP) block combined with intraoperative diclofenac aqueous for post-operative analgesia in caesarean section. Methods: A prospective randomised double-blind study was conducted on 60 patients over a period of six months. Patients were enrolled in two groups (n = 30). Group A and Group B both received bilateral landmark based TAP block using ropivacaine 0.75% (1.5 mg/kg), 20 ml at end of surgery. Group B received diclofenac sodium aqueous 75 mg intravenous intraoperatively. Results: The difference of visual analogue score (VAS) at movement was significant at 4 and 6 h in Group A versus Group B (3.00 ± 0.64 versus 2.37 ± 0.89, 4.43 ± 0.68 versus 3.53 ± 1.2). At rest, VAS score was lower in Group B than in Group A at all time intervals (P < 0.05). Time to demand of first dose of rescue analgesic was prolonged in Group B (11.5 ± 4.1 h) than in Group A (7.55 ± 1.41 h). Mean dose of analgesic consumption in first 24 h was lesser in Group B (61.67 ± 34.57 mg) than in Group A (98.33 ± 37.68 mg). Patient satisfaction score was higher in Group B (8 ± 1.04) than in Group A (6.23 ± 1.04). Conclusion: TAP block along with intraoperative diclofenac aqueous as component of multimodal regimen provides superior post-operative analgesia and better patient satisfaction as compared to TAP block alone.


How to cite this article:
Kanta B, Sonali D, Gazala P, Yunus K, Kiran K. A randomised comparative study of transversus abdominis plane block with or without intravenous diclofenac sodium as a component of multimodal regimen for post-operative analgesia following caesarean section.Indian J Anaesth 2021;65:316-320


How to cite this URL:
Kanta B, Sonali D, Gazala P, Yunus K, Kiran K. A randomised comparative study of transversus abdominis plane block with or without intravenous diclofenac sodium as a component of multimodal regimen for post-operative analgesia following caesarean section. Indian J Anaesth [serial online] 2021 [cited 2021 Jul 29 ];65:316-320
Available from: https://www.ijaweb.org/article.asp?issn=0019-5049;year=2021;volume=65;issue=4;spage=316;epage=320;aulast=Kanta;type=0