The effect of two different doses of dexamethasone on blood sugar levels when added as an additive to local anaesthetic in transversalis fascia plane block in caesarean section surgeries - an observational study

Adequate post-operative analgesia after caesarean section (CS) is vital as it impacts the recovery of the parturient. Ultrasound guided fascia plane blocks are being given post surgery to alleviate pain and decrease the consumption of opioids. One such novel technique is the transversalis fascia plane block. The transversalis fascia plane (TFP) block is an ultrasound-guided regional anesthetic technique that targets the T12 and L1 spinal nerves by injecting local anesthesia between the posterior aponeurotic extension of the transversus abdominis muscle and the deep investing transversalis fascia which provides postoperative analgesia for parturients undergoing Caesarean section.  Dexamethasone is often added as an additive to prolong the duration of action of local anaesthetic but steroids are known to increase blood glucose levels above the physiological levels. In this study we are going to monitor the effect of addition of 2 different concentrations of dexamethasone on post operative blood sugars, surgical site infection and postoperative analgesia.