Tranversus Abdominus Plane Block with or without Magnesium Sulphate on Post Operative Pain Control after Open Appendectomy Operation

Abstract

ppendectomy is one of the commonest abdominal operation performed during emergency hours for acute appendicitis. Continuous pain in right iliac fossa even after appendectomy may occur. The assessment of pain in the perioperative period is key to the appropriate management of acute postoperative pain. Pain intensity in the perioperative period is typically assessed with use of one dimensional scales such as the visual analogue scale (VAS), the four-point verbal rating scale (VRS), or the numeric rating scale (NRS). TAP block has been shown to provide good postoperative analgesia as it provides analgesia to the skin, muscles and parietal peritoneum of the anterior abdominal wall from T6 to L1. It has multiple benefits as it decreases prolonged stay in the PACU improves patient comfort and may improve compliance with postoperative care such as ambulation and respiratory exercise.