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390203

Ultrasound-guided Transverses Abdominis Plane block using bupivacaine with or without hyaluronidase in laparoscopic cholecystectomy

Article

Last updated: 25 Dec 2024

Subjects

-

Tags

Surgery ·

Abstract

Aim: The purpose of this study is to compare the efficacy of of Bupivacaine 0.25% alone versus the Bupivacaine 0.25% with Hyaluronidase 1500 I.U during ultrasound guided transversus abdominis plane block in elective laparoscopic cholecystectomy under general anesthesia. Patients and methods: This Randomized Controlled-double-blind study was conducted on 60 Patients randomized into two groups. Group A (30 patients), TAP block was performed using Bupivacaine 0.25% 20 ml on each side of abdominal wall. Group B (30 patients), TAP block was performed using a combination of 18 ml of Bupivacaine 0.25% and 2 ml of Hyaluronidase 750 I.U on each side of abdominal wall. This study was carried out in the department of Anesthesiology, surgical intensive care and pain management in Beni-Suef University hospital. Results: Regarding the total analgesic amount requirements, this study showed that there was no statistically significant difference between both groups regarding the dose of analgesia after 2, 4, 6, 12, 16, 20, and 24 postoperatively. There was a statistically significant longer mean time to 1st request of analgesia being 10.2±3.1 hours in bupivacaine and hyaluronidase group than bupivacaine only group being 5.2±1.9 hours. According to the NSR pain score, there was no statistically significant difference between bupivacaine and hyaluronidase group and bupivacaine only group after 2, 4, 6, 8, 12, 16, 20, and 24 of the operation. Conclusion: Using hyaluronidase as an adjuvant to bupivacaine in sonar-guided TAP block after laparoscopic cholecystectomy offered good postoperative analgesia, postponed the need for analgesia, and decreased analgesic intake early postoperatively.

DOI

10.21608/ejmr.2023.181224.1300

Keywords

TAP block, Bupivacaine, Hyaluronidase

Authors

First Name

Rania

Last Name

Sherif

MiddleName

Abd El-Halim

Affiliation

Anesthesiology, surgical intensive care and pain management, Beni-Suef University Hospital, Beni-Suef University, Egypt.

Email

rania.anath@yahoo.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Abd El-Nabi

MiddleName

Fawzi

Affiliation

Anesthesiology, surgical intensive care and pain management, Beni-Suef University Hospital, Beni-Suef University, Egypt.

Email

thezedoooo@gmail.com

City

Beni suef

Orcid

0000-0002-3775-3730

First Name

Mahmoud

Last Name

Ali

MiddleName

Attia

Affiliation

Anesthesiology, surgical intensive care and pain management, Beni-Suef University Hospital, Beni-Suef University, Egypt.

Email

mnassef62@yahoo.com

City

-

Orcid

-

First Name

Ahmed

Last Name

El-Shaarawy

MiddleName

Mostafa

Affiliation

Anesthesiology, surgical intensive care and pain management, Beni-Suef University Hospital, Beni-Suef University, Egypt.

Email

ahmed_shaarawy@gmail.com

City

-

Orcid

-

Volume

5

Article Issue

3

Related Issue

49241

Issue Date

2024-07-01

Receive Date

2022-12-18

Publish Date

2024-07-01

Print ISSN

2682-4396

Online ISSN

2682-440X

Link

https://ejmr.journals.ekb.eg/article_390203.html

Detail API

https://ejmr.journals.ekb.eg/service?article_code=390203

Order

390,203

Type

Original Article

Type Code

1,224

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Research

Publication Link

https://ejmr.journals.ekb.eg/

MainTitle

Ultrasound-guided Transverses Abdominis Plane block using bupivacaine with or without hyaluronidase in laparoscopic cholecystectomy

Details

Type

Article

Created At

25 Dec 2024