Unilateral Versus Bilateral Ultrasound Guided Tap Block Effect on Postoperative Pain Control in CS

Abstract

Background: Ultrasound-guided blocks of the transversus abdominis plane (TAP) can be used for following surgery pain relief during abdominal surgeries and caesarean sections (CS) as well. Aim of study: Our goal was to study the difference in the efficiency of ultrasound-guided unilateral and bilateral TAP blocks as a postoperative analgesia for CS. Patients and Methods: In a randomized study, 100 pregnant women undergoing elective CS were split into 3 groups: Group I (the control group), no TAP blocks were administered, group II, 40 ml of bupivacaine 0.25% (100 mg) was administered to the RT side only and group III, 20 ml of bupivacaine 0.25% (50 mg) was administered to both sides. Results: No discernible distinctions could be found between groups II and III regarding postoperative visual analogue scale (VAS), post-anesthetic care unit time and the total amount of opioid consumption (P > 0.05). But, a substantial distinction existed between the control group and the other two groups in postoperative VAS, post-anesthetic care unit time and the total amount of opioid consumption Conclusion: With ultrasound-guided TAP blocks, efficient postoperative pain relief in CS may be obtained, however there was no variations between unilateral and bilateral TAP blocks in this regard.