Volume 25, Issue 114, August 2021

The hemodynamic variability after transverse abdominal block in lower abdominal surgeries

Maytham M Kadhim^♦, Khaleel Jummah Kareem, Muthana Abdul Kadhim Saad

Anaesthetist, Department of anesthesiology, Al Yarmouk teaching hospital, Baghdad, Iraq

^♦Corresponding author
Anaesthetist, Department of anesthesiology, Al Yarmouk teaching hospital, Baghdad, Iraq

ABSTRACT

Objective: Investigate the effects of pre-incisional bilateral transversus-abdominis plane block on intraoperative hemodynamics and analgesia in patients undergoing general anesthesia for elective lower abdominal surgery. M ethods: The study included the selection of a total of 50 women who undergone general anesthesia for elective lower abdominal surgery and randomly allocated to one of two groups: Group A had 25 women who received pre-incisional transversus abdominis plane block, and group B included 25 women who didn't receive the block and taking into consideration matching for age with group A. Obese patients, those with a known allergy from drugs used in the study to perform transversus abdominis plane block, patient with cardiovascular or neuropsychiatric disorders, and on long-term analgesic therapy were excluded from this study. Before incision (basal), ten minutes, twenty minutes, and thirty minutes after incision, blood and pulse rate were measured, and the results were compared between research groups. Results: There was no discernible age difference between the study groups. Patients with transversus abdominis plane block had considerably lower mean arterial pressure (MAP) and heart rate (HR) 30 minutes after incision than controls. Conclusions: The transversus abdominis plane block is valid and can be used safely to polish up the pain resulting from the surgical incision which help stabilization of HR and BP of the patient transversus abdominis plane block a painkiller that has analgesic effect intraoperatively and postoperatively.

Keywords: transverse abdominis block, hemodynamic changes, abdomen surgery

Medical Science, 2021, 25(114), 1894-1899

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