COMPARITIVE STUDY OF 0.25% BUPIVACAINE WITH DEXAMETHASONE AND O.25% BUPIVACAINE WITH CLONIDINE FOR TRANSVERSUS ABDOMINIS PLANE BLOCK AS POST-OPERATIVE ANALGESIA IN PATIENTS UNDERGOING LSCS.

Abstract

Introduction: To compare 0.25% bupivacaine with dexamethasone and 0.25% bupivacaine with clonidine for TAP block as post-operative analgesia in patients undergoing LSCS. A randomized prospective controlled study wa Study Design: s conducted in 100 patients undergoing LSCS. Participants were divided into 2 groups. Group A received 0.25% bupivacaine with dexamethasone 4mg.Group B received 0.25% bupivacaine with 75mcg clonidine. The postoperative pain was evaluated by VAS scoring. The average duration of analgesia with TAP Results: block for overall study population was 316.15min. The average VAS score in patients who received 0.25% bupivacaine with dexamethasone was 1.50 which is signicantly lower than for whom received 0.25% bupivacaine with clonidine which is 1.95. Further the duration of analgesia is longer in Group A than Group B. TAP block is safe and effective way of relieving post Conclusion: operative pain in LSCS patients. Addition of dexamethasone to bupivacaine signicantly enhances its effect in terms of block quality and analgesia duration as compared to clonidine