scholarly journals Comparison of transversus abdominis plane block vs spinal morphine for pain relief after Caesarean section

2011 ◽  
Vol 106 (5) ◽  
pp. 706-712 ◽  
Author(s):  
R.C.N. McMorrow ◽  
R.J. Ni Mhuircheartaigh ◽  
K.A. Ahmed ◽  
A. Aslani ◽  
S.-C. Ng ◽  
...  
Keyword(s):  
Pain Relief ◽  
Caesarean Section ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane

EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK FOR POST CESAREAN DELIVERY ANALGESIA

2018 ◽  
Vol 8 (5) ◽  
pp. 37-41
Author(s):  
Minh Nguyen Van ◽  
Nga Bui Thi Thuy ◽  
Thinh Tran Xuan
Keyword(s):  
Caesarean Section ◽  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Morphine Consumption ◽  
Block Group ◽  
Tap Block ◽  
Transversus Abdominis Plane ◽  
Pain Scores

Background: The transversus abdominis plane block (TAP block), a regional block, provides effective analgesia after lower abdominal surgeries. The objective of this study was to assess whether transversus abdominis plane block is effective as part of multimodal pain management following Cesarean section. Materials and Method: Totally, 60 ASA I and II parturients for Cesarean section via Pfannenstiel incision under spinal anesthesia were randomly allocated to either the TAP block group or the control. The TAP block group received a landmark-orientated, bilateral TAP block with 0.25% levobupivacain 17,5ml each side in the triangle of Petit. Postoperative pain treatment followed the same protocole for both groups with 1gram paracetamol intravenously and received patrient-controlled analgesia with intravenous morphine. The time to first request of analgesic, morphine consumption, visual analogue scale (VAS) pain scores and side effects were scored at 2, 4, 6, 8, 12 h postoperatively. Results: The time to first request of analgesic was longer, morphine consumption was lower in TAP group than in the control (p < 0.05). Visual analogue scale (VAS) pain scores at rest and on mouvement were similar in two groups at 2h, but lower in TAP group from 4h (p < 0.05). No severe adverse effects were detected in two groups. Conclusion: TAP block prolonged the time to fisrt request of analgesic and reduced morphine consumption, the VAS pain scores significantly both at rest and on mouvement. Therefore, TAP block is feasible and effective as part of a multimodal analgesia regimen after Caesarean section. Key words: Caesarean section, multimodal pain management, transversus abdominis plane block

Comparison of Transversus Abdominis Plane Block Versus Spinal Morphine for Pain Relief after Cesarean Section

2012 ◽  
Vol 56 (1) ◽  
pp. 24-25
Author(s):  
R.C.N. McMorrow ◽  
R.J. Ni Mhuircheartaigh ◽  
K.A. Ahmed ◽  
A. Aslani ◽  
S.-C. Ng ◽  
...  
Keyword(s):  
Pain Relief ◽  
Cesarean Section ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane

scholarly journals Comparison of Efficacy of 0.25 % Ropivacaine with Dexmedetomidine versus 0.25 % Ropivacaine Alone for Transversus Abdominis Plane Block for Post-Operative Analgesia in Patients Undergoing Lower Segment Caesarean Section - A Prospective Randomized Clinical Study

2021 ◽  
Vol 8 (17) ◽  
pp. 1133-1138
Author(s):  
Shraddha Agrawal ◽  
Avan Suryawanshi ◽  
Alok Kumar Swain ◽  
Arun Andappan ◽  
Ramesh Kumar M
Keyword(s):  
Side Effects ◽  
Caesarean Section ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Ultra Sound ◽  
Tap Block ◽  
Transversus Abdominis Plane ◽  
Duration Of Action ◽  
Vas Scores ◽  
Safe Condition

BACKGROUND Regional anaesthesia is an armamentarium in the hands of the anaesthesiologist to provide swift, effective and safe condition for surgery. However, local anaesthetics are characterised by slower onset and shorter duration of action, when used in larger doses can cause systemic toxicity. Hence, adjuvants are used to better the quality of blocks. Here, I have used dexmedetomidine as an adjuvant in transversus abdominis plane (TAP) block to assess duration of action, hemodynamic effects and side-effects. METHODS Our study is randomised double blinded comparative study, in which we have compared two groups, one received ropivacaine alone and another received ropivacaine with dexmedetomidine as an adjuvant. Assessment was done for duration of action, visual analog scale (VAS) scores, analgesic drug usage, sedation scoring and incidence of side-effects and complications. This study was conducted on 94 parturients with 47 patients in each group. RESULTS Dexmedetomidine has a statistically significant prolonged action and has given excellent analgesia post-operatively. Additional analgesics were required in a lesser number than the control group. There were no hemodynamic disturbances and complications. CONCLUSIONS Dexmedetomidine added to ropivacaine for ultra-sound guided TAP block is associated with prolonged and excellent analgesia with lesser requirement for additional analgesic usage, lower VAS scores, hemodynamic stability, and minimal sedation. KEYWORDS Caesarean Section, Dexmedetomidine, Analgesia, Post-Operative, Ropivacaine, Transversus Abdominis Plane Block

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