الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Cesarean section is frequently associated with a considerable
postoperative pain. A significant proportion of pain experienced by
patients undergoing abdominal surgeries is related to somatic pain
signals stem from the abdominal wall. Postoperative pain after cesarean
section increases analgesic consumption, disturbs bowel function and
prolongs the duration of hospital stay.
Appropriate pain treatment aims to improve the results of the
surgery, reduce postoperative morbidity, and decrease hospital the
duration of hospital stay. Treatment of postoperative pain after cesarean
section based on conventional drugs for pain relief (large doses of
paracetamol, NSAID, and oral or intravenous opioid). This is associated
with adverse effects, such as nausea, sedation, hypotension and
increased cardiac load. All these effects delay rehabilitation and early
discharge.
Here the role of the regional block e.g. transversus abdominis
plane block (TAP block) appears to overcome these side effects for the
management of acute postoperative pain in surgical interventions of the
abdominal region. Recently, ultrasound guided technique regional
block have been used successfully to avoid the problem of the blind
technique and provided better control of a variety of postoperative pain
after cesarean section.
This study was done to study the effect of adding
dexmedetomidine to bupivacaine for transversus abdominis plane block
on the postoperative analgesia following cesarean section performed
under spinal anesthesia for 24 hours postoperatively, first request for
analgesia, total analgesic consumption and patient satisfaction