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A RANDOMIZED CONTROL TRIAL TO INSPECT THE MERITS AND EFFICACY OF PREEMPTIVE USG STEERED SINGLE INFUSION RECTUS SHEATH SQUARE

Dr.Amna Tariq, Muhammad Osama Shabbir, Dr Rana Mahmood Khurshid

Background: Laparoscopic tubal ligation (LTL) is multi day care medical procedure and requires a little supraumbilical entry point for the umbilical port. Torment after LTL is more than indicative laparoscopy. Objective: Our objective was to inspect the adequacy and advantages of a preemptive ultrasound guided single infusion rectus sheath square (RSB) in giving improved right off the bat postoperative agony scores in contrast with general anesthesia alone. Place and Time of study: Sir Ganga Ram hospital, Lahore from March 2018 to July 2018. Methodology: Absolute individuals chose for the investigation were sixty. These patients experienced elective LTL. Every one of the patients was haphazardly apportioned by a PC produced list into two gatherings. One was the ultrasound guided rectus sheath square gathering - the Group R, got a two-sided RSB utilizing 20 ml of 0.25% bupivacaine on either side after commencement of anesthesia and sooner than the careful cut. The other was general anesthesia gathering - the Group G, got general anesthesia alone. Any unfavorable occasions were recorded. Sedation score (from 0 wakeful to 5 unarousable) was utilized to record sedation level. Intravenous tramadol was additionally given and its time was recorded. Torment was estimated by verbal simple score (VAS). Mann-Whitney U-test, t-test, Pearson χ2 test and Fisher's accurate test was utilized for examination of various factors. Measurable centrality was set at 5%. Measurable Analysis was finished with the assistance of SPSS programming rendition 21. Results: The recurrence of sickness and sedation was diminished in the Group R. The rectus sheath hinders with bupivacaine contrasted and control gathering decreased verbal simple scores. There were no complexities certify to the rectus sheath square. Tramadol prerequisites in the initial 12 postoperative hours were additionally lower. Conclusion: Up to 12 postoperative hours after willful laparoscopic tubal ligation, as a piece of multimodal pain relieving routine, Ultrasound guided rectus sheath square gives prevalent absence of pain. Keywords: Rectus sheath block; Ultrasound, Laparoscopy; Tubal ligation; Pain; Analgesia; Bupivacaine.

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