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Efficacy of trans abdominis plane block for post cesarean delivery analgesia: A double-blind, randomized trial.

Srivastava U, Verma S, Singh TK, Gupta A, Saxsena A, Jagar KD, Gupta M - Saudi J Anaesth (2015 Jul-Sep)

Bottom Line: Use of tramadol was reduced in patients given TAP block by 50% compared to patients given no block during 48 h after surgery (P < 0.001).Pain scores were lower both on rest and activity at each time point for 24 h in study group (P < 0.001), time of first analgesia was significantly longer, satisfaction was higher, and side effects were less in study group compared to control group.Transverse abdominis plane block was effective in providing analgesia with a substantial reduction in tramadol use during 48 h after cesarean section when used as adjunctive to standard analgesia.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Critical Care, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.

ABSTRACT

Background: The transverse abdominis plane (TAP) block, a regional block provides effective analgesia after lower abdominal surgeries if used as part of multimodal analgesia. In this prospective, randomized double-blind study, we determined the efficacy of TAP block in patients undergoing cesarean section.

Materials and methods: Totally, 62 parturients undergoing cesarean section were randomized in a double-blind manner to receive either bilateral TAP block at the end of surgery with 20 ml of 0.25% bupivacaine or no TAP block, in addition to standard analgesic comprising 75 mg diclofenac 8 hourly and intravenous patient-controlled analgesia (PCA) tramadol. Each patient was assessed at 0, 4, 8, 12, 24, 36, and 48 h after surgery by an independent observer for pain at rest and on movement using numeric rating scale of 0-10, time of 1(st) demand for tramadol, total consumption of PCA tramadol, satisfaction with pain management and side effects.

Results: Use of tramadol was reduced in patients given TAP block by 50% compared to patients given no block during 48 h after surgery (P < 0.001). Pain scores were lower both on rest and activity at each time point for 24 h in study group (P < 0.001), time of first analgesia was significantly longer, satisfaction was higher, and side effects were less in study group compared to control group.

Conclusion: Transverse abdominis plane block was effective in providing analgesia with a substantial reduction in tramadol use during 48 h after cesarean section when used as adjunctive to standard analgesia.

No MeSH data available.


Related in: MedlinePlus

Numeric pain rating scores at rest (mean ± standard deviation)
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Related In: Results  -  Collection

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Figure 2: Numeric pain rating scores at rest (mean ± standard deviation)

Mentions: The NRS for pain at rest and movement is depicted in Figures 2 and 3. The scores were similar on arrival in PACU in both groups but were significantly lower at all-time points up to 24 h in group B compared to group C, both at rest and on movement (P < 0.0001). At 36 and 48 h, the scores although were lower in group B, it was not statistically significant.


Efficacy of trans abdominis plane block for post cesarean delivery analgesia: A double-blind, randomized trial.

Srivastava U, Verma S, Singh TK, Gupta A, Saxsena A, Jagar KD, Gupta M - Saudi J Anaesth (2015 Jul-Sep)

Numeric pain rating scores at rest (mean ± standard deviation)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4478824&req=5

Figure 2: Numeric pain rating scores at rest (mean ± standard deviation)
Mentions: The NRS for pain at rest and movement is depicted in Figures 2 and 3. The scores were similar on arrival in PACU in both groups but were significantly lower at all-time points up to 24 h in group B compared to group C, both at rest and on movement (P < 0.0001). At 36 and 48 h, the scores although were lower in group B, it was not statistically significant.

Bottom Line: Use of tramadol was reduced in patients given TAP block by 50% compared to patients given no block during 48 h after surgery (P < 0.001).Pain scores were lower both on rest and activity at each time point for 24 h in study group (P < 0.001), time of first analgesia was significantly longer, satisfaction was higher, and side effects were less in study group compared to control group.Transverse abdominis plane block was effective in providing analgesia with a substantial reduction in tramadol use during 48 h after cesarean section when used as adjunctive to standard analgesia.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Critical Care, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.

ABSTRACT

Background: The transverse abdominis plane (TAP) block, a regional block provides effective analgesia after lower abdominal surgeries if used as part of multimodal analgesia. In this prospective, randomized double-blind study, we determined the efficacy of TAP block in patients undergoing cesarean section.

Materials and methods: Totally, 62 parturients undergoing cesarean section were randomized in a double-blind manner to receive either bilateral TAP block at the end of surgery with 20 ml of 0.25% bupivacaine or no TAP block, in addition to standard analgesic comprising 75 mg diclofenac 8 hourly and intravenous patient-controlled analgesia (PCA) tramadol. Each patient was assessed at 0, 4, 8, 12, 24, 36, and 48 h after surgery by an independent observer for pain at rest and on movement using numeric rating scale of 0-10, time of 1(st) demand for tramadol, total consumption of PCA tramadol, satisfaction with pain management and side effects.

Results: Use of tramadol was reduced in patients given TAP block by 50% compared to patients given no block during 48 h after surgery (P < 0.001). Pain scores were lower both on rest and activity at each time point for 24 h in study group (P < 0.001), time of first analgesia was significantly longer, satisfaction was higher, and side effects were less in study group compared to control group.

Conclusion: Transverse abdominis plane block was effective in providing analgesia with a substantial reduction in tramadol use during 48 h after cesarean section when used as adjunctive to standard analgesia.

No MeSH data available.


Related in: MedlinePlus