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During pregnancy, enhanced sensitivity to local anaesthetics (LAs) as a result of altered physiology may increase the risk of LA systemic toxicity (LAST). Aims and Objectives: To study low volume versus high volume TAP block for post-operative analgesia in lower segment caesarean section. Methodology: This was a cross sectional study carried out in the patients undergoing LSCS during the one year period i.e. January 2018 to January 2019 in the one year period by taking written and explained consent 60 were enrolled to study. Out of the 60, 30 were given low volume (Group A) high volume (Group B) TAP block for analgesia all details of the patients like age, sex, pain after operation was measured by Visual analogue scale score (VAS score) and analgesic requirement was measured by average no of tablets required for the patients. The statistical analysis was analysed by chi-square test and unpaired t-test calculated SPSS 19 version software. Result: The age was comparable in both the groups i.e. 29.12 ±2.72 Yrs and 28.62± 1.95 (p>0.05,df=59,t=0.98) VAS score on 6hr 6.67 ± 1.62 and 6.39 ±1.72 was comparable (p>0.05,df=59,t=0.82) VAS score on 24 hr was 4.83 ± 2.31 and 5.12 ± 1.84 was comparable (p>0.05,df=59,t=0.71); Analgesic consumption on 6hr (Tablets) was 0.98 ± 0.29 and 0.89±0.42 was comparable (p>0.05,df=59,t=0.53); Analgesic consumption on 24 hr (Tablets) was 0.76±0.19 and 0.69± 0.28 Comparable (p>0.05,df=59,t=0.28). Conclusion: It can be concluded from our study that the efficacy of low dose and high dose TAP block was comparable to each other with respect to Pain (VAS score) and requirement of post operatively analgesics hence low volume should be preferred over high volume to reduce the LA induced complications.

Comparison of low volume versus high volume TAP block for post operative analgesia in lower segment Cesarean section