Effect Of Perineural Dexamethasone As Additive To Bupivacaine On Transverse Abdominal Plane Block For Post-operative Analgesia In Elective Cesarean Section Under Spinal Anesthesia

Background: The transverses abdominal plane (TAP) block is straightforward regional techniquernused for postoperative analgesia in patients undergoing lower abdominal surgeries. Dexamethasonernis steroid which is mostly used drug as adjuvant or additive in most of regional block in order tintensify quality and prolong the block.rnObjective: To assess effect of Perineural dexamethasone as additive to bupivacaine on transversabdominal plane block for post-operative analgesia in elective cesarean section under spinarnanesthesia at black lion specialized hospital.rnMethodology: An institutional based prospective cohort study was conducted on 58 patientStudy participants were selected by systematic random sampling technique. Data collectionrnmethods include preoperative chart review, intraoperative observation and postoperative patientrninterview starting at 2, 4, 6, 12 and 24 postoperatively. Demographic data were analyzed usinstudent t test and Chi square and Fisher’s exact test. Mann –Whitney U test was used to comparthe pain severity, first analgesia request time as well as analgesic consumption between the groupsrnin the postoperative time for 24 hours. Chi-square test was used to analyze the homogenousrncategorical variables and a p-value less than 0.05 was considered as statistically significant.rnResult: This study found that TAP D has prolonged time to first analgesia request with a mediaduration of 8.5 hours compared to 5.5 hours in TAP A (alone) (p

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