Transversus abdominis plane block reduces postoperative pain intensity and analgesic consumption in elective cesarean delivery under general anesthesia.

Journal of Anesthesia
Laleh EslamianAli Movafegh

Abstract

It is reported that following abdominal surgery, transversus abdominis plane (TAP) block can reduce postoperative pain. The primary outcome of this study was the evaluation of the efficacy of TAP block on pain intensity following cesarean delivery with Pfannenstiel incision. Fifty pregnant women were randomized blindly to receive either a TAP block with 15 ml 0.25% bupivacaine in both sides (group T, n = 25) or no blockade (group C, n = 25) at the end of the surgery, which was performed with a Pfannenstiel incision under general anesthesia. The pain intensity in the patients was assessed by a blinded investigator at the time of discharge from recovery and at 6, 12, and 24 h postoperatively, with a visual analogue scale (VAS) for pain. The women in the TAP block group had significantly lower VAS pain scores at rest and during coughing and consumed significantly less tramadol than the women in group C [50 mg (0-150) vs. 250 mg (0-400), P = 0.001]. There was a significantly longer time to the first request for analgesic in the TAP block group [210 min (0-300) vs. 30 min (10-180) in group C, P = 0.0001]. Two-sided TAP block with 0.25% bupivacaine in parturients who undergo cesarean section with a Pfannenstiel incision under general...Continue Reading

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Citations

Nov 28, 2012·Journal of Anesthesia·Guilherme Holck, William Camann
May 25, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Basem M MishrikyAshraf S Habib
Dec 25, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Farheen Mirza, Brendan Carvalho
Mar 13, 2013·International Journal of Obstetric Anesthesia·R LandauC Ortner
Dec 12, 2012·Journal of Anaesthesiology, Clinical Pharmacology·Saravanan P AnkichettyStephen Halpern
Apr 26, 2014·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Dolores M McKeenAaron Pink
Feb 19, 2015·Journal of Anesthesia·Hiroyuki Sumikura
Nov 21, 2015·Journal of Anesthesia·Hiroyiki SumikuraSatoshi Hagihira
Oct 9, 2015·Pain Research and Treatment·Shalini ShahPadma Gulur
Jul 1, 2015·Brazilian Journal of Anesthesiology·Javier RipollésJosé Calvo
Jul 7, 2015·Revista brasileira de anestesiologia·Javier RipollésJosé Calvo
Jun 17, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Etrusca BrogiThomas M Hemmerling
Jan 14, 2017·Regional Anesthesia and Pain Medicine·Ki Jinn ChinJeffrey Gadsden
May 22, 2018·Obstetrics and Gynecology
Apr 17, 2013·Current Opinion in Anaesthesiology·Aidan SharkeyJohn G McDonnell
Oct 4, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Bahar Sarıibrahim AstepeAhmet Kale
Jul 10, 2019·Anesthesiology·De Q TranJoseph M Neal
Apr 19, 2018·Annals of Plastic Surgery·John P MillerJohn T Lindsey
Apr 5, 2019·Minerva anestesiologica·Jaime Ruiz-TovarFlaminia Coluzzi
Mar 25, 2021·Current Pain and Headache Reports·Rodney A GabrielRichard D Urman
Jul 14, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Andrea Girnius, Marie-Louise Meng

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