Evaluation of Transversus Abdominis Plane Block for Analgesia after Cesarean Section

JOURNAL TITLE: Journal on Recent Advances in Pain

Author
1. Sevras Hingwe
2. Ashish Sethi
ISSN
2454-6607
DOI
10.5005/jp-journals-10046-0005
Volume
1
Issue
1
Publishing Year
2015
Pages
5
Author Affiliations
    1. Department of Anesthesiology, Post Graduate Institute Chandigarh, Punjab, India
    1. Department of Anesthesiology and Critical Care, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India
  • Article keywords

    Abstract

    Background

    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.

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