Effect of preemptive ultrasound-guided TAP block on intraoperative analgesic requirements in patients undergoing laparoscopic gynecological surgeries under general anesthesia: A prospective, randomized controlled study

Background: Pain could lead to an increased consumption of opioids intraoperatively as well postoperatively with subsequent side effects and prolonged post-operative recovery. Transverse abdominus plain (TAP) block is commonly used for analgesia. We wanted study the effect TAP block, when given pre-emtive Aims Objectives: The was conducted ascertain benefit before surgical incision. primary objective intraoperative fentanyl requirement in patients undergoing Laparoscopic gynecological surgeries. secondary objectives analyze Intra-operative hemodynamic parameters, time needed extubate patient, sedation score, visual analog scale (VAS) scores, first rescue Materials Methods: Sixty-two eligible female posted total laproscopic hysterectomy or Laproscopic-assisted Vaginal Hysterectomy coming were divided into two groups. Group A – Standard General Anaesthesia pre-operative block. B- Anaesthesia. Whenever there 15% rise heart rate (HR) mean blood pressure (MBP) above baseline, 20 mcg bolus given. Total intra-operative Fentanyl consumption, HR MBP, extubate, sedation, VAS analgesia noted. Results: There no difference demographic profile between required significantly higher B (140.33±12.17 mcg) than (101.33±5.07 mcg). MBP lower throughout procedure. extubation 5.4 min 15.77 B. score observed up 30 Mean Time 452.90±110.46 240±89.13 min. Conclusion: Pre-operative laparoscopic surgeries decreases leading early causes less period.