Transversus Abdominis Plane Block versus Intravenous Patient Controlled Analgesia for Postoperative Pain Relief in Cesarean Section

Document Type : Original Article

Authors

1 Obstetrics and Gynecology department, Faculty of Medicine, Tanta University

2 Obstetrics and Gynecology department, Faculty of Medicine, Tanta University, Tanta, Egypt.

3 Anaesthesiology and Surgical Intensive Care Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Abstract

Objectives: This work aimed to contrast two methods (TAP block and PCA) for postoperative analgesia following caesarean section (CS).
Study Design: Prospective Randomized Work.
Patients and Methods: This Prospective Randomized work was performed on 100 participants aged from 19 to 40 years old, female, singleton pregnancies undergoing elective caesarean delivery utilizing spinal anesthesia undergoing elective CS. Participants had been divided randomly into two equal groups: Group 1: underwent TAP block and Group 2: used controlled analgesia.
Results: Time till the first demand for analgesics had been substantially prolonged in group I contrasted to group II (P <0.001). Total ketorolac Tromethamine dose in 1st 24 hours postoperative was substantially decreased in group I contrasted to group II (P <0.001). Visual analogue scale (VAS) score measurements were substantially reduced at 2h, 4h and 8h in group I contrasted to group II (P<0.05). satisfaction of patient was substantially greater in group I contrasted to group II (P =0.004). Postoperative vomiting and nausea were substantially lower in group I contrasted to group II (P =0.001). Respiratory depression was insignificant different between both groups.
Conclusion: TAP block was found to produce better analgesic effects and less analgesic consumption compared to PCA in patients undergoing CS delivery. TAP block was also associated with better patient’s satisfaction and less occurrence of complications.

Keywords

Main Subjects

Files

Share

How to cite

Statistics