Evaluation of Transversus Abdominis Plane Block for Analgesia after Cesarean Section
Sevras Hingwe, Ashish Sethi
Citation Information :
Hingwe S, Sethi A. Evaluation of Transversus Abdominis Plane Block for Analgesia after Cesarean Section. J Recent Adv Pain 2015; 1 (1):13-17.
This study is intended to evaluate the transversus abdominis plane (TAP) block for analgesia over the first 24 postoperative hours after lower segment cesarean section.
Materials and methods
Fifty female parturients of American society of Anesthesiologists (ASA) physical status II undergoing lower segment cesarean section were randomized to undergo a bilateral TAP block with ropivacaine (group 1 = 25) or to undergo a bilateral TAP block with 0.9% saline (group 2 = 25). In addition, all patients received standard analgesic injection tramadol 100 mg and im injection diclofenac 75 mg as required in the postoperative period. All patients received standard spinal anesthesia, and TAP block was performed at end of the surgery. Each patient was assessed after operation at each half an hours up to 24 hours after surgery in postoperative period.
Results
The mean visual analog scale (VAS) score of group 1 was statistically less than mean VAS score of group 2 (p < 0.001). The mean of total number analgesic requirement for first 24 hours postoperatively was significantly less in group 1 (1.68 ± 0.9) than group 2 (2.8 ± 0.33) respectively.
Conclusion
Transversus abdominis plane block holds considerable promise as part of a multimodal analgesic regimen for post cesarean delivery analgesia. Transversus abdominis plane block is easy to perform and provided reliable and effective analgesia.
How to cite this article
Chansoria M, Hingwe S, Sethi A, Singh R. Evaluation of Transversus Abdominis Plane Block for Analgesia after Cesarean Section. J Recent Adv Pain 2015;1(1):13-17.
Abdominal field block: a new approach via the lumbar triangle. Anaesthesia 2001;56:1024-1026.
The analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial. Anesth Analg 2007;104:193-197.
Ipsilateral transversus abdominis plane block provides effective analgesia after appendectomy in children: a randomized controlled trial. Anesth Analg 2010;111: 998-1003.
The transversus abdominis plane (TAP) block in open retropubic prostatectomy. Reg Anesth Pain Med 2006;31:91
Randomized clinical trial of transversus abdominis plane block versus placebo control in live-donor nephrectomy. Transplantation 2012;94:520-525.
Comparison between ultrasound-guided transversus abdominis plane and conventional ilioinguinal/ iliohypogastric nerve blocks for day-case open inguinal hernia repair. Br J Anaesth 2011;106:380-386.
Ultrasound-guided transversus abdominis plane block: description of a new technique and comparison with conventional systemic analgesia during laparoscopic cholecystectomy. Br J Anaesth 2009;102:763-767.
The beneficial effect of transversus abdominis plane block after laparoscopic cholecystectomy in day-case surgery: a randomized clinical trial. Anesth Analg 2012;115:527-533.
The analgesic efficacy of transversus abdominis plane block after cesarean delivery: a randomized controlled trial. Anesth Analg 2008;106:186-191.
The transversus abdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy. Anaesth Analg 2008;107:2056-2060.
Analgesic efficacy of ultrasound-guided transversus abdominis plane block in patients undergoing open appendicectomy. Br J Anaesth 2009;103:601-605.
Ultrasoundguided transversus abdominis plane block for analgesia after caesarean delivery. Br J Anaesth 2009;103:726-730.
The transversus abdominis plane block, when used as part of a multimodal regimen inclusive of intrathecal morphine, does not improve analgesia after caesarean delivery. Reg Anesth Pain Med 2009;34:586-589.
Transversus abdominis plane block does not provide additional benefit to multimodal analgesia in gynaecological cancer surgery. Anaesth Analg 2010;111:797-801.
Evaluation of postoperative analgesic efficacy of transversus abdominis plane block after abdominal surgery: a comparative study. J Nat Sci Biol Med 2013;4:177-180.
The effect of transversus abdominis plane block or local anaesthetic infiltration in inguinal hernia repair: a randomised clinical trial. Eur J Anaesthesiol 2013;30:415-421.
Perioperative transversus abdominis plane (TAP) blocks for analgesia after abdominal surgery. Cochrane Database Syst Rev 2010;12:CD007705.
Clinical effectiveness of transversus abdominis plane (TAP) block in abdominal surgery: a systematic review and metaanalysis. Colorectal Dis 2012;14:e635–e642.
Subjective assessment of pain and its relationship to the administration of analgesics in patients with advanced cancer. J Psychosom Res 1966;10:203-208.
