Analyzing and comparing the efficacy of Ultrasound guided sub costal TAP Block and Modified BRILM block in blunting the hemodynamic response to port insertion and pnemoperitoneum in laparoscopic cholecystectomies

Going hand in hand with the advancements in surgery, anaesthesia needs to be updated accordingly.

With advent of laparoscopic surgeries, issues like response to port insertion & pneumo-peritoneum need to be addressed

to provide quality care.

So, in laparoscopic cholecystectomy, apart from conventional GA, we have to block nerves (by subcoastal TAP / modified

BRILMA block) that innervate parietal peritoneum and

anterior abdominal wall muscles.

Real time imaging under USG guidance is a boon in performing these blocks.