The efficacy of TAP block versus ilioinguinal block for post-cesarean section pain management: A systematic review and meta-analysis

Yetneberk, Tikuneh; Chekol, Basazinew; Teshome, Diriba

doi:10.1016/j.heliyon.2021.e07774

Cited by 6 publications

(6 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…El bloqueo TAP ha demostrado ser efectivo reduciendo el dolor, reduciendo el consumo de analgesia de rescate y con satisfacción de las gestantes [19] así como también el bloqueo de los nervios ilioinguinal e iliohipogástrico se combinan con bloqueos TAP, se obtiene una mejor analgesia y se reduce la necesidad de opiáceos de rescate [19], [22].…”

Section: Discussionunclassified

See 1 more Smart Citation

Técnicas regionales guiadas por ultrasonido para manejo de analgesia para cesárea

Roldan¹,

Mora²,

Cruz³

et al. 2022

Rev. chil. anest.

View full text Add to dashboard Cite

One of the fundamental pillars for optimal patient recovery after a cesarean section is pain management after a surgical intervention. For years the gold standard for analgesic management the use of intrathecal morphine due to its long-lasting effect, however adverse effects related to the use of opioids are evidenced too, Currently, with the advent of multimodal analgesia, the use of opioids and the effects associated with them have been reduced, optimizing pain management, reducing hospital stay, lower risk of postpartum depression, reducing the presence of nausea and vomiting as well as pruritus and improving mother-child relationship. An essential component of the multimodal analgesia are regional blocks like the transversus abdominis plane block and the ilioinguinal -iliohypogastric block, Quadratus lumborum and erectus spinae plane block demonstrate its usefulness with better pain management compared with TAP block regardless these have a higher level of complexity due to the visceral pain control; but there is no evidence with methodologic quality enough that demonstrate better outcomes compare with intrathecal morphine.

show abstract

Section: Discussionunclassified

“…Los nervios ilioinguinal e iliohipogástrico están contenidos en un plano tisular bien definido entre el transverso del abdomen y los músculos oblicuos internos [19] (Figura 4).…”

Section: Bloqueo Ilioinguinal/iliohipogastricounclassified

Técnicas regionales guiadas por ultrasonido para manejo de analgesia para cesárea

Roldan¹,

Mora²,

Cruz³

et al. 2022

Rev. chil. anest.

View full text Add to dashboard Cite

show abstract

“…[50][51][52][53] A systematic review of 5 RCTs found similar efficacy for post-cesarean analgesia when comparing midaxillary TAP blocks to II/IH blocks. 62 Two meta-analyses of postcesarean patients in the absence of neuraxial morphine were unable to find significant analgesic advantage to an ultrasound guided TAP block versus direct wound infiltration of local anesthetic in the subcutaneous tissue by the surgeon. 63,64…”

Section: Efficacy In Cesarean Analgesiamentioning

confidence: 99%

Regional Analgesia for Cesarean Delivery: A Narrative Review Toward Enhancing Outcomes in Parturients

Silverman,

Zwolinski,

Wang

et al. 2023

JPR

View full text Add to dashboard Cite

With the current surge on peripheral nerve blocks in post-cesarean pain management and the historical lack of unequivocal evidence supporting its universal use, this review intended to re-examine the extended scope of literature on regional anesthesia and postoperative analgesia in low-transverse cesarean section. Methods: A literature search was conducted up to April 2023 using PubMed to identify articles relevant to our search words "cesarean section", "neuraxial morphine", "post-cesarean analgesia", as well as the name of each individual nerve block. The literature search was ultimately narrowed to systematic reviews and randomized controlled trials published between 2012 and 2023. We define, describe, and discuss the evidence surrounding each individual regional anesthetic technique in the presence and absence of intrathecal morphine, which is used as the gold standard when appropriate. Results: In the absence of neuraxial morphine, all regional anesthetic techniques have some level of analgesic benefit in the postcesarean analgesia. Transversus Abdominis Plane blocks continue to have the most studies in their use. Newer fascia plane blocks including the anterior Quadratus Lumborum, and Erector Spinae Plane blocks provide significant analgesia. In addition, direct comparison among peripheral nerve blocks consistently favors the more proximal, centralized techniques. Conversely, in the presence of neuraxial morphine, no peripheral anesthetic technique has reliably and reproducibly demonstrated an added analgesic benefit regardless of the peripheral nerve block technique or location of local anesthetic injection in the post-cesarean population. Conclusion:Neuraxial morphine continues to be the gold standard for post-cesarean section analgesia, the benefit of additional single injection regional anesthetic is currently not evidence supported. In cases where neuraxial opioids have not or cannot be given, there is overwhelming evidence that regional anesthetic techniques improve post-cesarean section analgesia and decrease post-operative opioid consumption. Even though there is no consensus on the optimal peripheral nerve block, emerging evidence suggests more centralized abdominal fascia plane block trends towards better analgesia.

show abstract

“…Under the guidance of ultrasound, the distribution and course of peripheral nerves, as well as the surrounding blood vessels and organs, can be observed, and the puncture localization is accurate, which avoids stray into blood vessels, thoracoperitoneum, and important organs. Moreover, the injection and diffusion process of local anesthetics can be observed, reducing the amount of local anesthetics, and the block effect is obvious and lasts for a long time ( 10 , 11 ). Nerve block by ultrasonography can block multiple small nerves or plexuses to achieve regional anesthesia and analgesia through the diffusion of local anesthetics in the musculofascial plane.…”

Section: Introductionmentioning

confidence: 99%

“…Figure11 Funnel plot of the effect of nerve block on pain events after ultrasonography. SE, standard error; OR, overall risk.…”

mentioning

confidence: 99%

Systematic review and meta-analysis of the effect of nerve block under ultrasound in ilioinguinal/iliohypogastric in children

Chen¹,

Song²,

Zheng³

et al. 2022

Transl Pediatr

View full text Add to dashboard Cite

Background: Ilioinguinal/iliohypogastric nerve block (IINB) is a common operation in pediatric surgery. Nerve block under contrast-enhanced ultrasound (CEUS) has the advantages of visualization and noninvasiveness, which creates conditions for its application in nerve block. It can significantly improve the success rate of nerve block and reduce the complications of nerve block. At present, few studies in China have analyzed the effect of nerve block guided by ultrasound technology compared with ordinary treatment.Methods: With "ilioinguinal/iliohypogastric nerve block", "ultrasonic examination of the children", and "ultrasonography for ilioinguinal/iliohypogastric" as the keywords, the related literature published before 2022 was searched. RevMan 5.3 and Stata provided by the Cochrane Collaboration were employed for analysis and evaluation. Begg's risk of bias was utilized to assess the risk bias of the included references.Heterogeneity among studies was evaluated using the Q test and heterogeneity (I 2 ).Results: Six studies were included, with a total of 391 cases. The overall risk (OR) of ilioinguinal/ iliosubabdominal complications in children treated with nerve block after ultrasound examination was 0.49, and the complications of ilioventral/iliosubabdominal complications in children treated with nerve block after ultrasound examination were reduced. The OR of inhibiting pain events was 0.35, and the ilioinguinal/ iliosubabdominal pain events were reduced after nerve block treatment by ultrasound examination. The OR of inhibiting adverse reactions was 0.45. After ultrasound examination, the adverse reactions of ilioinguinal/ iliosubabdominal nerve block treatment were reduced, and there was no heterogeneity among the study groups (I 2 =0.00%). Conclusions:The results of the meta-analysis confirmed that the complications of nerve block treatment after ultrasound examination were less than those of ordinary treatment. The incidence of pain events and adverse reactions in nerve block treatment were reduced after ultrasonography. Moreover, in terms of pain events, the effect of ultrasound guidance was significant. In short, in clinical studies, CEUS can be used to accurately evaluate complex situations and provide a more accurate reference for subsequent treatment.

show abstract

The efficacy of TAP block versus ilioinguinal block for post-cesarean section pain management: A systematic review and meta-analysis

Cited by 6 publications

References 22 publications

Técnicas regionales guiadas por ultrasonido para manejo de analgesia para cesárea

Técnicas regionales guiadas por ultrasonido para manejo de analgesia para cesárea

Regional Analgesia for Cesarean Delivery: A Narrative Review Toward Enhancing Outcomes in Parturients

Systematic review and meta-analysis of the effect of nerve block under ultrasound in ilioinguinal/iliohypogastric in children

Contact Info

Product

Resources

About