الفهرس | Only 14 pages are availabe for public view |
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 |