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188857

Evaluation of Analgesic Effect of Transversus Abdominis Plane Block after Emergency Cesarean Section

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Last updated: 28 Dec 2024

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Abstract

Background: Adequate postoperative analgesia is crucial after a caesarean section (CS) to facilitate early ambulation and newborn care (breast feeding, maternal-fetal bonding), as well as to reduce morbidity. As part of a multimodal analgesic strategy, the transversus abdominis plane (TAP) block is used in CS postoperative analgesia. The goal of our study is to see how effective TAP block is as an analgesic in the first 48 hours following emergency CS by Pfannenstiel incision. n Methodologies: A total of 100 pregnant women receiving emergency CS were enrolled in this prospective double-blind trial. They were divided into two groups at random. Group A: Bupivacaine was used to inhibit TAP in 50 women. Group B (control group): 50 women were given TAP block with 0.9 percent saline. Results: At rest and during movement, VAS in group B was substantially lower than in group A, although there was no significant difference between the two groups at baseline. When compared to group A, the time to the first morphine request was greatly delayed, and the overall dosage of morphine was greatly reduced. At 12 hours and 1 day, group B had much less nausea and sedation than group A, but at 0 and 2 days, there was no significant difference between the two groups. Final Thoughts: The use of an ultrasound-guided TAP block following emergency CS lowers the need for analgesics in the first 48 hours following surgery. It reduces pain intensity, lengthens the time to initial rescue analgesia, and lowers overall morphine, sedation, and nausea scores.

DOI

10.21608/bjas.2021.188857

Keywords

Transversus Abdominis Plane Block, Emergency, cesarean section

Authors

First Name

M.O.

Last Name

Mashal

MiddleName

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Affiliation

Gynecology and Obstetrics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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First Name

N.E.I.

Last Name

Ashmawy

MiddleName

-

Affiliation

Gynecology and Obstetrics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

-

Orcid

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First Name

A.A.

Last Name

Shdeed

MiddleName

-

Affiliation

Gynecology and Obstetrics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

-

Orcid

-

First Name

M.A.

Last Name

El-gazzar

MiddleName

-

Affiliation

Gynecology and Obstetrics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

-

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Volume

6

Article Issue

3

Related Issue

24728

Issue Date

2021-05-01

Receive Date

2021-08-11

Publish Date

2021-05-01

Page Start

235

Page End

240

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_188857.html

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https://bjas.journals.ekb.eg/service?article_code=188857

Order

37

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Evaluation of Analgesic Effect of Transversus Abdominis Plane Block after Emergency Cesarean Section

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Article

Created At

23 Jan 2023