scholarly journals Transversus abdominis plane block with liposomal bupivacaine for pain control after cesarean delivery: a retrospective chart review

2018 ◽  
Vol Volume 11 ◽  
pp. 3109-3116 ◽  
Author(s):  
B. Wycke Baker ◽  
Lea G. Villadiego ◽  
Y. Natasha Lake ◽  
Yazan Amin ◽  
Audra E. Timmins ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Pain Control ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane ◽  
Liposomal Bupivacaine

scholarly journals Effectiveness of perineural and intravenous dexamethasone added to bupivacaine for transversus abdominis plane block in post-cesarean delivery pain control: a prospective cohort study, 2019

2020 ◽  
Author(s):  
Bedru Jemal ◽  
Abebayehu Zemedkun ◽  
Wosenyeleh Admasu ◽  
Sileshi Abiy ◽  
Simeneh Molla ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cesarean Delivery ◽  
Prospective Cohort ◽  
Pain Control ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Tap Block ◽  
Transversus Abdominis Plane ◽  
Chi Square ◽  
Analgesic Consumption

Abstract Background Caesarean delivery (CD) has been one of the most frequently performed major surgical interventions, and causes severe postoperative pain. Abdominal field blocks like TAP block are mostly preferred as post-operative analgesia for this operation. Using different adjuvants like dexamethasone by different routes increases the quality and duration of block and maximizes patient satisfaction. The objective of this study was to compare the effectiveness between perineural and intravenous dexamethasone as an adjuvant on bilateral transversus abdominis plane block for post cesarean delivery pain control. Methodology An institutional based prospective cohort study was conducted on 87 patients. Study participants were selected by systematic random sampling technique. Data collection methods include preoperative chart review, intraoperative observation and postoperative patient interview at 4 th , 6 th , 8 th , 12 th and 24 th hours. Sociodemographic variable were analyzed by ANOVA and chi square test. Kruskal Wallis with post hoc analysis was used to compare post-operative severity of pain score and cumulative analgesic consumption. Time to first analgesic request was analyzed using Kaplan Meier survival analysis with log rank. Categorical variable were analyzed by chi square. Result Time to first analgesic request was significantly longer in TAP-IVD and TAP-PD compared to TAP alone (p < 0.05). The postoperative NRS score at rest and on coughing were significantly lowered in TAP-PD and TAP-IVD group compared to TAP alone group (p <0.05).The total analgesic consumption in the first 24h was significantly lower in TAP-IVD and TAP-PD group compared to TAP alone group (p < 0.05). Conclusion and recommendation dexamethasone 8mg both intravenously and perineurally is effective adjuvant to bupivacaine on bilateral TAP block with prolonged and potent analgesia and reduced analgesic consumption. Based on our finding we recommend use of dexamethasone as an adjuvant to bupivacaine on bilateral transversus abdominis plane block.

scholarly journals Transversus Abdominis Plane Block as a Treatment Modality for Chronic Abdominal Pain

2020 ◽  
Vol 4;23 (7;4) ◽  
pp. 405-412
Author(s):  
Alaa Abd-Elsayed
Keyword(s):  
Abdominal Pain ◽  
Pain Management ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Chronic Abdominal Pain ◽  
Transversus Abdominis Plane Block ◽  
Emergency Department Visits ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane ◽  
Pain Scores

Background: This study describes the use of transversus abdominis plane (TAP) blocks to treat and manage chronic abdominal pain (CAP) in patients who have exhausted other treatment options. Typically, this is a procedure prescribed for treating acute abdominal pain following abdominal surgery. Here we evaluate the use of TAP blocks for longer relief from CAP. Objectives: To assess the efficacy of TAP blocks for pain control in patients with CAP. Study Design: This was a retrospective chart review and analysis of TAP blocks performed over 5 years. This project qualified for institutional review board exemption. Setting: This study was completed at an academic institution. Methods: We reviewed the charts of 92 patients who received TAP blocks for CAP after previous treatment was ineffective. Some patients underwent multiple TAP blocks, with a total of 163 individual procedures identified. For most blocks, a solution of 0.25% bupivacaine and triamcinolone was injected into the TAP. Efficacy of the injection was measured using pain scores, percent improvement, and duration of relief from pain. Results: TAP blocks were associated with a statistically significant (P ≤ 0.05) improvement in abdominal pain scores in 81.9% of procedures. Improvement was 50.3% ± 39.0% with an average duration of 108 days after procedures with ongoing pain relief at time of follow-up were removed. There was a significant reduction in emergency department visits for abdominal pain before and after the procedure (P ≤ 0.05). Limitations: This was a retrospective chart review with lack of a control group. Conclusions: TAP blocks can be extrapolated for treating abdominal pain beyond acute settings. TAP injections can be considered as a treatment option for patients with somatosensory CAP refractory to other forms of pain management. Key words: Abdominal pain, transversus abdominis plane block, chronic pain, chronic abdominal pain, pain management, somatosensory pain, transversus abdominis plane, steroid injection

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