Role of ultrasound guided transversus abdominis plane block as a component of multimodal analgesic regimen for lower segment caesarean section: a randomized double blind clinical study

BMC Anesthesiology
Ashok JadonAsit Kumar Pati

Abstract

While opioids are the mainstay for post-operative analgesia after lower segment caesarean section, they are associated with various untoward effects. Ultrasound guided transversus abdominis plane (TAP) block has been postulated to provide effective analgesia for caesarean section. We evaluated the analgesic efficacy of this block for post caesarean analgesia in a randomised controlled trial. One hundred thirty-nine mothers undergoing caesarean delivery were randomised to receive TAP block with either 20 ml 0.375% ropivacaine or 20 ml saline after obtaining informed consent. All the subjects received a standard spinal anaesthetic and diclofenac was administered for post-operative pain. Breakthrough pain was treated with tramadol. Post-operatively, all the subjects were assessed at 0, 2, 4, 6, 8, 10, 12, 18 & 24 h. The primary outcome was the time to first analgesic request. The secondary measures of outcome were pain, nausea, sedation, number of doses of tramadol administered and satisfaction with the pain management. The median (interquartile range) time to first analgesic request was prolonged in the TAP group compared to the control group (p < 0.0001); 11 h (8,12) and 4 h (2.5,6) respectively. The median (interquartile range)...Continue Reading

References

Jun 1, 1989·Anesthesiology·A C SantosB G Covino
Aug 25, 2009·British Journal of Anaesthesia·D BelavyF Phillips
Feb 8, 2011·Journal of Clinical Anesthesia·Muhammed Rafay Sameem SiddiquiMirza K Baig
May 25, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Basem M MishrikyAshraf S Habib
Apr 1, 2014·Regional Anesthesia and Pain Medicine·Emmanuel WeissMorgan Le Guen
Apr 26, 2014·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Dolores M McKeenAaron Pink

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Citations

Sep 15, 2020·Obstetrics and Gynecology·Luciana MullmanPaul Yodice
Dec 29, 2020·Anaesthesia·E RoofthooftUNKNOWN PROSPECT Working Group* of the European Society of Regional Anaesthesia and Pain Therapy and supported by the Obstetric Anae
Mar 25, 2021·Current Pain and Headache Reports·Rodney A GabrielRichard D Urman

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Methods Mentioned

BETA
dissection
sedation

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