Single Versus Continuous TAP blockage Technique for Management of Postoperative Hysterectomy Pain

Background: Transversus abdominis plane blockage technique is performed by administration of local anesthetic agentbetween the abdominal muscle anatomical planes to block the somatic nervous innervation. Value of continuously infusedlocal anesthetic agents via indwelling catheters in TAP blockage is an area of growing research interest.Aim: To compare the analgesic efficacy of single shot versus continuous transversus abdomin is plane (TAP) block in casesundergoing total abdominal hysterectomy.Methodology: All research study subjects enrolled had provided a written informed consent. The research study involved60 cases having ASA scoring status 1 to 2(according to American society of Anesthesiologist scoring system), aged 35 to60 years and scheduled to undergo total abdominal hysterectomy cases. All patients were categorized into two researchgroups in a random manner; single shot TAP research group (n=30 cases) and continuous TAP research group (n=30cases).Results: VAS scoring (Visual Analog Scale for Pain) was statistically significantly lower among continuous TAP blockresearch group in comparison to single shot TAP block research group at different time intervals,baseline,1 hour,12 hours24 hours,36 hours 48 hours 60 hours (p values =0.000, 0.001, 0.001, 0.002, 0.026 consecutively).Conclusion and Recommendations: TAP blockage prolong the analgesic duration, reduces the VAS scoring particularlyin continuous approach more than single shot postoperatively and reduces the requirements for Opioid consumptionoverall.