The Effect of Ultrasound Guided Transversus Abdominis Plane Block for Cesarean Delivery on Postoperative Analgesic Consumption

Cansız, Kadir Hakan; Yedekçi, Ahmet Ertürk; Şen, Hüseyin; Özkan, Sezai; Dağlı, Güner

doi:10.5455/gulhane.49122

Cited by 13 publications

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“…The studies revealed that pain scores were lower and time of demand for first analgesia was significantly longer in study groups compared to control (no drug) groups. [ 25 26 ] Another study was conducted using 20 ml of 0.375% ropivacaine on either side, which included ASA II patients undergoing caesarean section under spinal anesthesia; reduction in mean VAS score ( P < 0.001) and reduced opioid requirement were observed. [ 27 ]…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided transversus abdominis plane block for post-operative analgesia in patients undergoing caesarean section

2016

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Background and Aims:Transversus abdominis plane (TAP) block is a fascial plane block providing post-operative analgesia in patients undergoing surgery with infra-umbilical incisions. We evaluated analgesic efficacy of TAP block with ropivacaine for 24 h after caesarean section through a Pfannenstiel incision.Methods:Sixty patients undergoing caesarean section under spinal anaesthesia were randomised to undergo TAP block with ropivacaine (n = 30) versus control group (n = 30) with normal saline, in addition to standard analgesia with intravenous paracetamol and tramadol. At the end of the surgery, ultrasound-guided TAP plane block was given bilaterally using ropivacaine or normal saline (15 ml on either side). Each patient was assessed post-operatively by a blinded investigator at regular intervals up to 24 h for visual analogue score (VAS) and requirement of analgesia. SPSS version 18.0 software was used. Demographic data were analysed using Student's t-test and the other parameters using paired t-test.Results:TAP block with ropivacaine compared with normal saline reduced post-operative VAS at 24 h (P = 0.004918). Time for rescue analgesia in the study group was prolonged from 4.1 to 9.53 h (P = 0.01631). Mean requirement of tramadol in the first 24 h was reduced in the study group.Conclusion:US guided TAP block after caesarean section reduces the analgesic requirement in the first 24 h.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-guided transversus abdominis plane block for post-operative analgesia in patients undergoing caesarean section

2016

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“…Two similar studies of TAP block were conducted in patients undergoing elective caesarean section under spinal anaesthesia using 20 ml of 0.25% bupivacaine or levobupivacaine. The studies revealed that pain scores were lower and time of demand for rst analgesia was signicantly longer in study groups compared to control [20,21] (no drug) groups.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Efficacy of Levobupivacaine in Transverse Abdominis Plane Block for Postoperative Analgesia in Patients Undergoing Caesarean Section: A Double Blinded, Randomized Study

Praveen

Mishra

2020

Global Journal for Research Analysis

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Background: Dexamethasone has a long and efficient glucocorticoid structure and presents anti-inflammatory properties. When used as an adjuvant to local anaesthetics, it prolongs the duration of analgesia. The aim of this study was to determine the effect of dexamethasone as an adjuvant to levobupivacaine in TAP block given to patients who underwent caesarean section. Materials & Methods: 70 patients posted for caesarean section under spinal anaesthesia were included in the study and divided into two groups. Group A received bilateral 30 ml 0.25% levobupivacaine and 2 ml dexamethasone(8mg). Group B received bilateral 30 ml 0.25% levobupivacaine and 2 ml 0.9% NaCl in a TAP block performed with ultrasonography. The time needed for the first rescue analgesia in the postoperative period was recorded. 24hr tramadol consumption & VAS was recorded. Results: Time for first analgesic administration (tramadol) was prolonged significantly in Group A (mean ± SD- 12.24 ± 1.22hrs) as compared to Group B (mean ± SD ‑ 8.37± 1.07 hrs), P < 0.0001. Tramadol requirement for 24hrs in Group A was 115.71± 16.89 mg and for Group B was 198.57± 22.64 mg, which was statistically significant (P < 0.0001). VAS was noted at 2, 4, 6, 8, 12, 18 and 24 h. VAS was greatly reduced in group A for the first 8–10 h post‑operatively as compared to patients in group B. CONCLUSIONS: Dexamethasone when used as an adjuvant to levobupivacaine in TAP block, enhances the duration of block & decreases opioid consumption in the post- caesarean section patients.

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“…12 Studies proved that a concentration of 0.25% 20 mL levobupivacaine provided best postoperative analgesia given by transversus abdominis plane block. 13 The volume of LA to be deposited was derived from previous studies. [14][15][16][17] TAP block with plain solution of levobupivacaine 0.25% provides more effective pain relief as compared to ropivacaine in the postoperative period.…”

Section: Discussionmentioning

confidence: 99%

“…Similar results are observed by other studies. 13,[20][21][22] Significant reduction of VAS score is observed in patients who received TAP block with either levobupivacaine or ropivacaine as compared to control group. The results of our study are consistent with the findings of other studies.…”

Section: Discussionmentioning

confidence: 99%

To Compare the Postoperative Analgesic Efficacy of Levobupivacaine and Ropivacaine Using Transversus Abdominis Plane Block in Patients Undergoing Inguinal Hernia Surgeries

Goyal¹,

Meda²

2017

jemds

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The Effect of Ultrasound Guided Transversus Abdominis Plane Block for Cesarean Delivery on Postoperative Analgesic Consumption

Cited by 13 publications

References 0 publications

Ultrasound-guided transversus abdominis plane block for post-operative analgesia in patients undergoing caesarean section

Ultrasound-guided transversus abdominis plane block for post-operative analgesia in patients undergoing caesarean section

Comparison of Efficacy of Levobupivacaine in Transverse Abdominis Plane Block for Postoperative Analgesia in Patients Undergoing Caesarean Section: A Double Blinded, Randomized Study

To Compare the Postoperative Analgesic Efficacy of Levobupivacaine and Ropivacaine Using Transversus Abdominis Plane Block in Patients Undergoing Inguinal Hernia Surgeries

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