Abstract

The transversus abdominis plane (TAP) block is a regional anesthesia technique which provides analgesia to the parietal peritoneum and also the skin and muscles of the anterior abdominal wall. It has high potential utility for various surgical procedures. Methodology: The study was conducted on pregnant women who were posted for elective/emergency caesarean section in hospital. 60 patients were included in the study based on the inclusion and exclusion criteria. Patients were divided into two groups. Group A received TAP Block with 0.25% Bupivacaine 20 ml each side whereas Group B received TAP Block with 0.25% Ropivacaine 20 ml each side. The TAP block was given using an 18 Gauge Tuohy needle and identifying the double “pop” technique. Postoperatively, rescue analgesia provided for a VAS >4. The rescue analgesic used was Inj.Tramadol. Requirement of rescue analgesia was also studied. Result: The reduction of VAS score was comparable in both the groups. (P>0.05). The requirement of rescue analgesia in the postoperative period was similar in both the groups. Conclusion-0.25% Bupivacaine and 0.25% Ropivacaine are equally effective in TAP block and provides effective postoperative analgesia

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