International Journal of Medical Anesthesiology
2021, Vol. 4, Issue 2, Part B
Port site infiltration versus subcostal TAP block in laparoscopic cholecystectomy for postoperative analgesia
Author(s): Dr. Pratik Kadam, Dr. Anjali Bhure and Dr. Sumita Bhargava
Background/Aim: Many patients experience moderate to severe pain after laparoscopic cholecystectomy. We aimed to compare efficacy of subcostal TAP block vs port site infiltration for post-operative analgesia in these patients.
Methods: Patients undergoing elective laparoscopic cholecystectomy under general anaesthesia were divided randomly into two groups of 30 each to receive either ultrasound‑guided bilateral subcostal TAP block (T) with 0.25% ropivacaine total 20 ml each side or port‑site infiltration with 0.25% ropivacaine 5 ml each at 4 ports (I) at the end of the surgery before extubation. NRS for pain was assessed serially at 0 time point (after extubation), 1, 2, 3, 6, 12 and 24 h after surgery. Time for first rescue analgesia was noted. Inj.tramadol was used for rescue analgesia. Chi‑square test and independent t‑test were used to compare qualitative and quantitative data, respectively.
Result: Time to first rescue analgesia in group I was 5.7±0.98 hr and in group T was 9±1.29 hr (p value=0.0001). Mean tramadol consumption in group I was 200 ± 64.33mg and in group T was 113.33 ± 34.57mg (p value =0.0001). Mean NRS score in group T was significantly lower in group T as compared to group I.
Conclusion: Ultrasound guided subcostal TAP block provides better post-operative analgesia compared to port site infiltration in laparoscopic cholecystectomy patients.
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How to cite this article:
Dr. Pratik Kadam, Dr. Anjali Bhure, Dr. Sumita Bhargava. Port site infiltration versus subcostal TAP block in laparoscopic cholecystectomy for postoperative analgesia. Int J Med Anesthesiology 2021;4(2):91-94. DOI: 10.33545/26643766.2021.v4.i2b.236