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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: 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.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.

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: 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.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.

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