Abstract:

Background: Postoperative pain is a common problem following elective lower abdominal surgeries and can delay recovery if not adequately managed. The ultrasound-guided transversus abdominis plane (TAP) block is an effective regional anaesthesia technique that provides analgesia to the anterior abdominal wall. Long-acting local anaesthetics such as bupivacaine and ropivacaine are commonly used for TAP blocks. Bupivacaine provides prolonged analgesia but has a higher risk of cardiotoxicity, while ropivacaine offers a better safety profile with effective sensory blockade. This study compares ropivacaine and bupivacaine in ultrasound-guided TAP block for postoperative analgesia in patients undergoing elective lower abdominal surgeries. The present study aimed to evaluate the knowledge regarding comparison of ropivacaine and bupivacaine in ultrasound-guided transverse abnominis plane block for post-operative analgesia among first, second, and third year allied health students.

Materials and Methods: A prospective questionnaire-based study was conducted in the Department of OTAT, Dhanalakshmi Srinivasan Medical College and Hospital, Allied Health Sciences, Siruvachur, Tamil Nadu. A total of 60 students were included, with 20 participants in each academic year. The study procedure was explained to all the subjects, and informed consent was obtained. A questionnaire was given to each student of three groups and asked to submit within the prescribed time of 30 minutes. The collected data were analysed with SPSS (20.0) software.

Result: The maximum number of subjects in group-III knows pain score is the most important fact in bupivacaine compared to group-I and II. Group I subjects do not know which drug is commonly used for anaesthesia. All the group's subjects have an idea about what general anaesthesia is. Group I and II subjects have less idea about which patient is guided in transversus abdominis surgeries. Group II and III know how to manage the pain during abdominal surgeries more than group I. Group-III and II subjects are aware of post-operative analgesia.

Conclusion: The study results concluded that first and second year students are not very aware of the comparison of Ropivacaine and Bupivacaine in ultrasound-guided. Early clinical exposure to first- and second-year students can improve their knowledge regarding the comparison of Ropivacaine and Bupivacaine in ultrasound-guided transversus abdominis plane block for post-operative analgesia in patients undergoing elective lower abdominal surgeries.

Keywords:

Ropivacaine, Bupivacaine, Post-operative Analgesia, Regional Anaesthesia, Lower Abdominal Surgeries

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Methods