Eficácia analgésica do bloqueio ecoguiado do plano transverso do abdome – revisão sistemática

Ripollés, Javier; Mezquita, Sandra Marmaña; Abad, Alfredo; Calvo, J.

doi:10.1016/j.bjan.2013.10.014

Cited by 23 publications

(6 citation statements)

References 59 publications

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“…Several studies investigating the efficacy of the transverse plane block in managing postoperative pain in women undergoing caesarean sections have noted pain reduction up to 24 hours after surgery. 19 , 30 , 36–39 Similar to our findings, certain researchers observed changes in the initial hours. For example, Lee’s study reported pain reduction as early as 2 hours post-operation.…”

Section: Discussionsupporting

confidence: 91%

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Transversus Abdominis Plane Block versus Epidural Anesthesia for Pain Management Post-Caesarean Delivery: A Pilot Study

Salazar-Flórez,

Arenas-Cardona,

Marhx

et al. 2024

LRA

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Background Effective post-operative analgesia profoundly influences patient recovery and outcomes after caesarean delivery. The Transversus Abdominis Plane (TAP) block represents a potential alternative, potentially offering greater effectiveness than epidural analgesia while causing fewer adverse effects. Objective To assess if the abdominal transverse block provides superior postoperative pain relief in patients undergoing caesarean delivery compared to epidural analgesia. Methods Participants were divided into parallel groups: an experimental group receiving TAP block (n=25) and a control group receiving epidural analgesia (n=24). All patients received a 10 mg dose of hyoscine at the end of the surgery. Experimental Group received a total of 20 mL of 0.2% ropivacaine. In Epidural group received 0.2% ropivacaine at 4 mL/h for 24 hours. All participants were administered combined with neuroaxial block anesthesia. The patients selected for epidural analgesia received the mentioned dose, while the other group block had the epidural catheter removed after the cesarean section. The primary outcome was post-caesarean pain, evaluated using the Visual Analog Scale (VAS) at four intervals (0, 6, 12, and 24 hours). Also, surgical bleeding and residual motor were evaluated. VAS pain scores between the groups were compared using the Friedman test and Generalized Linear Model (GLM) for non-normally distributed data. The effect size was estimated with Eta Square ( ), considering values ≥0.38 as indicative of large effects. A two-tailed p-value < 0.05 was deemed statistically significant. Results Statistically significant differences in pain scores were noted at 0 and 6 hours post-surgery (p<0.01). The TAP block group reported lower pain scores at 0 hours (mean=0.04) and 6 hours (mean=1.16) compared to the epidural group, reflecting a substantial effect size. Conclusion The TAP block proves advantageous in mitigating postoperative pain for women post-caesarean delivery, particularly in the initial 6 postpartum hours. This relief promotes early mother-infant bonding and facilitates breastfeeding.

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Section: Discussionsupporting

confidence: 91%

“…For example, Lee’s study reported pain reduction as early as 2 hours post-operation. 19 , 30 , 36 Canakci et al 18 documented comparable outcomes, identifying statistically significant differences in pain levels 2 hours after the caesarean procedure.…”

Section: Discussionmentioning

confidence: 94%

Transversus Abdominis Plane Block versus Epidural Anesthesia for Pain Management Post-Caesarean Delivery: A Pilot Study

Salazar-Flórez,

Arenas-Cardona,

Marhx

et al. 2024

LRA

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“…Ripoles et al [10] found in their multicenter review study that TAP block reduces the need for analgesia and VAS in post-operative 24 hours. In our study, we found similar results that TAP block reduces meperidine consumption and reduces VAS after the cesarean section.…”

Section: Discussionmentioning

confidence: 99%

The efficacy of transversus abdominis plane block for post operative analgesia after cesarean section performed under general anesthesia

Buluc

Turan

et al. 2019

North Clin Istanbul

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OBJECTIVE:Several methods are used to control the pain after cesarean operations. Recently, the transverse abdominis plane block (TAP) has been proposed to compensate for the problems developed by preexisting methods. In the present study, we compared the analgesic efficacy of the TAP block after caesarean section in a prospective, randomized, double-blinded controlled trial.METHODS:In this study, thirty patients undergoing cesarean sections under general anesthesia were divided into two groups. Patients in Group T (n=15) on whom TAP Block with USG guidance was performed using 0.25% bupivacaine totally 60 ml. The patients in Group C were administered (n=15), 0.9% NaCl totally 60 ml (30 ml at each side) with USG guidance. Post-operative demand of meperidine using a patient-controlled analgesia device was recorded.RESULTS:First time on the need for analgesia were significantly higher in the control group (Group C). The total dose of meperidine, tenoxicam, paracetamol used for analgesia was significantly higher in the Group C. The outset times of breastfeeding and mobilization did not change between the groups.CONCLUSION:The USG-TAP block with 0.25% bupivacaine 60 ml (30 ml on each side) significantly reduced post-operative pain in patients undergoing the cesarean section. We think that TAP block is a comfortable and feasible method which reduces post-operative analgesia need and does not lead any serious complications.

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“…The blockade of peripheral nerves for analgesia of the abdominal wall after surgery has become more frequent, especially with the development of ultrasound technology. 16 17…”

Section: Introductionmentioning

confidence: 99%

“…15 The blockade of peripheral nerves for analgesia of the abdominal wall after surgery has become more frequent, especially with the development of ultrasound technology. 16,17 Quadratus lumborum (QL) block is a technique used to inject local anesthetic in the posterior abdominal wall around the quadratus lumborum muscle to anesthetize the thoracolumbar nerves. 18 It can provide somatic as well as visceral analgesia due to its paravertebral spread.…”

Section: Introductionmentioning

confidence: 99%

Randomized Clinical Trial Comparing Quadratus Lumborum Block and Intrathecal Morphine for Postcesarean Analgesia

Araújo

Ferraro

Sun

et al. 2022

Rev Bras Ginecol Obstet

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Objective To compare the efficacy of quadratus lumborum (QL) block and intrathecal morphine (M) for postcesarean delivery analgesia. Methods Thirty-one pregnant women with ≥ 37 weeks of gestation submitted to elective cesarean section were included in the study. They were randomly allocated to either the QL group (12.5 mg 0.5% bupivacaine for spinal anesthesia and 0.3 ml/kg 0.2% bupivacaine for QL block) or the M group (12.5 mg bupivacaine 0.5% and 100 mcg of morphine in spinal anesthesia). The visual analog scale of pain, consumption of morphine and tramadol for pain relief in 48 hours, and side effects were recorded. Results Median pain score and/or pain variation were higher in the morphine group than in the QL group (p = 0.02). There was no significant difference in the consumption of morphine or tramadol between groups over time. Side effects such as pruritus, nausea, and vomiting were observed only in the morphine group. Conclusion Quadratus lumborum block and intrathecal morphine are effective for analgesia after cesarean section. Patients undergoing QL block had lower postoperative pain scores without the undesirable side effects of opioids such as nausea, vomiting, and pruritus.

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Eficácia analgésica do bloqueio ecoguiado do plano transverso do abdome – revisão sistemática

Cited by 23 publications

References 59 publications

Transversus Abdominis Plane Block versus Epidural Anesthesia for Pain Management Post-Caesarean Delivery: A Pilot Study

Transversus Abdominis Plane Block versus Epidural Anesthesia for Pain Management Post-Caesarean Delivery: A Pilot Study

The efficacy of transversus abdominis plane block for post operative analgesia after cesarean section performed under general anesthesia

Randomized Clinical Trial Comparing Quadratus Lumborum Block and Intrathecal Morphine for Postcesarean Analgesia

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