Inguinal hernia surgeries: intra-thecal buprenorphine vs. transversus abdominis plane block with buprenorphine for post-operative analgesic effectiveness

Santosh Kumar Tiwari, Abhaychandra Srivastav, Chandrashekhar Azad

NSB District Hospital Gorakhpur, Uttar Pradesh, India

ABSTRACT

Background the main aim in the management of post-operative pain is to keep drug doses as low as possible in order to reduce side effects while yet delivering enough analgesia. Aims & objectives to compare the analgesic effectiveness of intra-thecal buprenorphine (ITB) against buprenorphine in TAP block (TAB) for inguinal hernia surgery. Methodology after meeting the inclusion criteria, a prospective randomized experimental research of 188 ASA physical status I and II patients who were scheduled for elective unilateral open hernia surgeries were divided into two categories of 94 each: ITB category and TAB category. Results demographic statistics were comparable across the two categories in this investigation. The TAB category had a longer duration of analgesia (10.34 ± 2.20 hours) than the ITB category (5.26 ± 1.14 hours), which was statistically remarkable (p0.05). The mean number of rescue analgesia doses provided in the first 24 hours was higher in the ITB category (2.26 doses) than in the TAB category (1.84 doses), and this difference was statistically remarkable (p <0>

Keywords:

Buprenorphine, Transversus Abdominis Plane block, Inguinal hernia.