Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
74
Views
1
Downloads
Comparative Study of Erector Spinae Plane Block Versus Transversus Abdominis Plane Block for Post Operative Analgesia in Patient Undergoing Laparoscopic Surgeries
Patchava Alekhya, V. Bala Subramanyam, Gajula Sudeshna and Vamshi Krishna
Page: 953-958 | Received 11 Oct 2024, Published online: 30 Dec 2024
Full Text Reference XML File PDF File
Abstract
Effective pain management is a primary responsibility of anaesthesiologists. Despite advancements in surgical methods and anaesthesia practices, postoperative pain continues to be a significant concern. The International Association for the Study of Pain (IASP) defines pain as “an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage. In comparison to the TAP block, the ESP block provides broader dermatomal coverage, offers potential visceral pain relief, and leads to reduced opioid consumption, making it a potentially more reliable option for postoperative analgesia. Patients scheduled for elective laparoscopic surgeries at PES institute of medical sciences and research (PESIMSR), Kuppam from (November2023‐April2025) were included in this study. Sample size: based on a study by kamel et al., july 2020, sample size was calculated by using the mean difference and standard deviation of the VAS SCORE. Inclusion criteria are patients aged between 20 and 40 years, patients with American Society of Anaesthesiologist (ASA) physical status I and II of either gender, and patients scheduled for elective laparoscopic abdominal surgeries under general anesthesia.Exclusion criteria are defined as patient refusal; patients who have infection at the injection site; clotting abnormalities; liver and renal abnormalities. In the present study, the patients in group T demanded diclofenac significantly more times than those in group E, and the first analgesic demand was significantly delayed in group E (p < 0.001). These results are similar to the above three studies. Shahid et al. conducted a study comparing the effects of paracetamol and tramadol on postoperative pain and found that the use of tramadol significantly increases the incidence of PONV. Similar to this, in the present study, nine patients (13.0%) from group 'O' whose tramadol requirement was higher developed PONV. The significant lower VAS scores were observed earlier in group E compared to groupT. The duration of analgesia was prolonged in group E compared to group T. The rescue analgesic requirement was lowering in groupE compared to group T for 24 hours in postoperative period.The hemodynamic variations were within physiological limits in both the groups. There were no post procedural complications in both the groups.
How to cite this article:
Patchava Alekhya, V. Bala Subramanyam, Gajula Sudeshna and Vamshi Krishna. Comparative Study of Erector Spinae Plane Block Versus Transversus Abdominis Plane Block for Post Operative Analgesia in Patient Undergoing Laparoscopic Surgeries.
DOI: https://doi.org/10.36478/makrjms.2024.12.953.958
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.12.953.958