effect of transversus abdominis block on decreasing pain following inguinal hernia repair

This study was to evaluate the transversus abdominis plane block for treating pain after inguinal hernia repair operations. This study included 60 patients who were allocated into 2 groups in a random manner r: group b [transversus abdominis plane block,30 patients received transversus abdominis in addition to an intravenous single-injection of morphine 5 mg] and group m [control group, 30 patients received morphine 5mg intravenously]. The patients' degrees of pain were evaluated postoperatively. There were 60 patients, 30 in each group. Postoperatively, pain scores were significantly less in group b than group m. Transversus abdominis block given before operation improves postoperative pain after inguinal hernia

Thoracic paravertebral block and morphine versus morphine alone for post thoracoscopy pain

To evaluate the effect of thoracic paravertebral block and morphine versus morphine alone for thoracoscopic surgeries during the first 4 hours. This study was conducted at King Hussein Medical Center-Amman between August 2009 to August 2010. In this study, 60 patients, were divided into two groups: Group P [paravertebral and morphine] [n=30], patients received thoracic paravertebral block with bupivacaine 0.25% in addition to an intravenous single-injection of morphine, 0.1 mg/kg. Group M [control group] [n=30], patients received morphine; 0.1 mg/kg injection .Pain scores were recorded during the first 4 hours after surgery using visual analogue scale. Also cumulative morphine consumption was recorded during the first 4 hours. The data was analyzed using student's t-test Sixty patients were included in this study, 30 in the paravertebral group [P] and 30 in the control group [M]. Pain scores during the first 4 hours postoperatively were lower in group P than group M. The quantity of morphine administered per patient in the first 4 hours was 10mg [range 0-18mg] in group M and 6mg [range 0-12mg] in group P. Preoperative paravertebral block combined with intravenous morphine improves postoperative pain outcome after thoracoscopic surgeries