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Dr. Zainab Mohamed Abd Elwahab Mahmoud :: Publications:

Title:
Intraoperative and Postoperative Effects of Dexmedetomidine as an Adjuvant to Bupivacaine in Transversus Abdominis Plane Block in Lower Abdominal Surgeries
Authors: Mohamed M. Abdulmeguid , Samir E. Ismail, Hany S. Bauiomy, Zeinab M. Abdelwahab
Year: 2025
Keywords: Not Available
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: Local
Paper Link: Not Available
Full paper Zainab Mohamed Abd Elwahab Mahmoud_paper 3.pdf
Supplementary materials Not Available
Abstract:

Background: Lower abdominal surgeries often result in severe pain, which in turn can affect the pattern of breathing and cause discomfort, irritation, and poor patient compliance. This investigation aimed to compare the analgesic efficacy of adding dexmedetomidine (DEX) as an adjuvant to bupivacaine in TAP block intraoperatively and postoperatively in lower abdominal surgeries. Methods: This prospective investigation included 60 cases undergoing lower abdominal surgery, randomly assigned into two equal groups. Group B received 40 mL of 0.25% bupivacaine (20 mL per side), while Group BD received 20 mL of 0.5% bupivacaine mixed with 0.5 mcg/kg DEX and diluted to 40 mL (20 mL per side) for TAP block. Results: NRS measurements at 2h, 4h, and 6h were statistically significantly diminished in Group BD in contrast with Group B (P

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