Rabia Tabassum, Naila Zahoor, Muhammad Danish Muneeb, Ziauddin Kashmiri, Sidra Javed.
A Randomized Controlled Trial Experience of Transverse Abdominal Plane Block Versus Local anaesthesia Infiltration at Surgical Site in Open Appendicectomies.
Baqai J Health Sci Jan ;23(2):23-8.

Objective: To know the duration of analgesia of right-sided Transversus abdominis plane block versus local anaesthetic infiltration around incision site after open appendicectomy. Methods: A double blind randomized controlled study conducted in the operation theatre of a private hospital, during 8 months period from January 2017 till August 2017. Patients aged 60 years, presented with American Society of Anaesthesiologist (ASA) I or II, who had to be planned open appendectomy were enrolled. Two groups were classified, Group T (Transversus abdominis plane block) group, infiltrating anaesthetic drug in the skin 2" cephalad towards the iliac crest using a "double-pop" technique and Group I (surgical incision) group in which patients received infiltration into the surgical incision. Both groups were infiltrated with the 0.6ml/kg of 0.25% bupivacaine anaesthesia, at their respected defined site. Results: Mean age of the patients in group T was 27.32 +10.16 years while mean age in group I was 26.06 +-8.38 years (p-value 0.683). There were 181 (61.1%) males and 115 (38.9%) females. Mean analgesia in group T was 106.66 +-2.91 minute`s duration and that in group I was 38.88 +-2.85 minutes (p-value 0.001). Conclusion: Transverse abdominis plane block to be a patient friendly technique, rendering patients pain free for a longer period of time after open appendicectomy, as compared to the surgical incision infiltration block.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com