Transversus abdominis plane block vs. wound infiltration in Caesarean section: a randomised controlled trial

Acta Anaesthesiologica Scandinavica
A TelnesH Lonnée

Abstract

Multiple studies suggest that transversus abdominis plane (TAP) block (without intrathecal morphine) after Caesarean section (CS) reduces post-operative morphine consumption. In our study, we wanted to compare the analgesic effect of TAP block with infiltration of the wound after CS. We included 60 pregnant women scheduled for elective CS under spinal anaesthesia in a randomised, single-centre, double-blind study. Thirty patients received ultrasound-guided TAP block using 20 ml bupivacaine 0.25% with adrenaline 5 μg/ml bilaterally and 20 ml normal saline as wound infiltration (TAP group). The other 30 patients (the control group) received normal saline 20 ml bilaterally in the TAP, and 20 ml bupivacaine 0.25% with adrenaline 5 μg/ml as wound infiltration. The main outcome was cumulative morphine consumption at 48 h after surgery. In addition, continuous morphine consumption, pain scores and side effects were registered. Fifty-seven patients completed the study. Cumulative morphine consumption at 48 h (mean±standard deviation) was 41±34 mg in the TAP group and 38±27 mg in the control group (P=0.7); a difference of 3 mg (95% confidence interval -13 to 19 mg). Morphine consumption at any time up to 48 h was virtually identical in ...Continue Reading

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Citations

Aug 1, 2015·European Journal of Anaesthesiology·Rafael BlancoEmad Girgis
Jul 19, 2016·Current Opinion in Anaesthesiology·Jens BørglumThomas F Bendtsen
Jun 4, 2016·European Journal of Anaesthesiology·Oluwaseyi AdesopeAshraf S Habib
Jan 14, 2017·Regional Anesthesia and Pain Medicine·Ki Jinn ChinJeffrey Gadsden
Jun 22, 2018·Regional Anesthesia and Pain Medicine·Roisin Mary Nee, John McDonnell
Jul 10, 2019·Anesthesiology·De Q TranJoseph M Neal
Feb 11, 2020·International Anesthesiology Clinics·Erica HollandChloe Zera
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
Dec 29, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Gaetano RiemmaPasquale De Franciscis
Mar 25, 2021·Current Pain and Headache Reports·Rodney A GabrielRichard D Urman

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