EFFICACY OF PRE-EMPTIVE ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK WITH DEXAMETHASONE ADDED TO BUPIVACAINE FOR POSTOPERATIVE ANALGESIA AFTER LAPAROSCOPIC SURGERIES

Background:Laparoscopic surgeries are commonly performed surgical procedures in day-to-day practice. These patients require a multimodal postoperative pain treatment regimen that provides high-quality analgesia with minimal side effects. TAP block is a regional anaesthetic technique that has been applied as one segment of a multimodal pain regimen in abdominal surgeries. Addition of dexamethasone as adjuvant to bupivacaine in TAP block provides prolonged post-operative analgesia and better pain control than LA alone. Also reduces the incidence of PONV.

Aim of the study: To observe and compare the analgesic effect of ultrasound guided TAP (transversus abdominis plane) block using 0.25% bupivacaine with dexamethasone versus 0.25% bupivacaine with normal saline. Evaluate efficacy of TAP block in providing postoperative analgesia in laparoscopic surgeries. To study the adverse effects of the drug.