1. Comparative study of Bupivacaine with magnesium sulfate versus bupivacaine with dexmedetomidine in peripheral nerve stimulator-guided transversus abdominis plane block for post-operative analgesia in cesarean section
- Author
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Himanshu Sharma, Roopesh Kumar, Ashok Mittal, and Mahesh Verma
- Subjects
local anesthetic ,dexmedetomidine ,bupivacaine ,pregnant women ,Medicine - Abstract
Background: Magnesium sulfate and dexmedetomidine can be used as an adjuvant to local anesthetic solutions to enhance the quality and duration of peripheral nerve blocks. Aims and Objective: The objective was to compare magnesium sulfate and dexmedetomidine as adjuvants to bupivacaine (0.25%) in a transversus abdominis plane (TAP) block using a peripheral nerve stimulator (PNS) for post-operative pain relief in parturients undergoing caesarean delivery. Materials and Methods: A total of 150 pregnant women of ASA Grade I and II in the age range of 18–40, underwent elective cesarean delivery under the subarachnoid block, were divided into three groups of 50 each: Group A (bupivacaine and normal saline), Group B (bupivacaine and MgSO4), and Group C (bupivacaine and dexmedetomidine). Following caesarean delivery, all participants went through a bilateral PNS guided TAP block utilizing one of the treatment techniques. At 0 h, 2 h, 4 h, 6 h, 12 h, 24 h, and 48 h, all patients were monitored for pain, hemodynamic parameters, and side effects. Results: The present study was carried out on 60 patients of thyroid lesions, out of which 21 cases were benign and 39 cases were malignant lesions. Correlation between ICC and reverse transcription-polymerase chain reaction (RT-PCR), a significant correlation was observed between ICC and RT-PCR for BRAF mutation (P0.001). The total concordance between ICC and quantitative RT-PCR was 96.8% (Pearson Chi-square test P-value is less than the significance level (0.05), which was statistical significant (P
- Published
- 2024
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