410657

Ultrasound Guided Transversus Abdominis Plane Block Versus Single dose Epidural Morphine as A postoperative Analgesia after Elective Cesarean Section

Article

Last updated: 04 May 2025

Subjects

-

Tags

Anaesthesia & Surgical Intensive Care

Abstract

Background: Postoperative pain management following cesarean delivery under spinal anaestheia requires a number of procedures, systemic and/or intrathecal opioids, such as bilateral erector spinae plane (ESP) block and the transversus abdominis plane (TAP) block with parenteral analgesics. This study aimed to compare between ultrasound guided transversus abdominal plane (TAP) block and single dose epidural morphine on post-operative pain and analgesic requirement in parturients undergoing elective cesarean delivery. Methods: This prospective randomized clinical study was conducted over the period of one year. This study comprised 64 patients who were induced spinal anesthesia and randomly assigned to two equal groups : group T ( 32 cases who received TAP block after skin closure ) and group E (the remaining 32 cases who underwent epidural analgesia with a single dose of 4 mg morphine given in epidural space) all cases were submitted to a detailed history, physical examination, and regular laboratory investigation. Results: Although the two groups expressed comparable scores during the first 3 hours after operation, but the TAP group reported reduced pain scores in later measurements. The timing of first analgesic request increased significantly in the TAP group. The required extra morphine dose increased significantly in the epidural group. The epidural group experienced much more nausea, vomiting, pruritis, and shivering. Conclusion: In TAP block group, the lower postoperative numeric rating scores (NRS) measured in all time points, the lower amount of intravenous analgesics given to the patients in the postoperative period and high level of patient satisfaction of TAP block thechnique.

DOI

10.21608/zumj.2025.313041.3523

Keywords

Postoperative Analgesia, Transversus abdominis plan, Epidural analgesia

Authors

First Name

Neveen

Last Name

Alaasar

MiddleName

Mahmoud

Affiliation

Professor of Anesthesiology, Intensive care and Pain management, Faculty of Medicine, Zagazig University, Egypt

Email

nmaasar@medicine.zu.edu.eg

City

-

Orcid

-

First Name

Kamelia

Last Name

Gamal El Din Abaza

MiddleName

Ahmad

Affiliation

Professor of Anesthesiology, Intensive care and Pain management, Faculty of Medicine, Zagazig University, Egypt

Email

cagamal.eddin@medicine.zu.edu.eg

City

-

Orcid

-

First Name

Mahmoud

Last Name

Abdelaal

MiddleName

Abdelbasit

Affiliation

Department of Anesthesiology, Intensive care and Pain management, Faculty of Medicine, Zagazig University, Egypt

Email

mahmoudrokn2000@gmail.com

City

-

Orcid

-

First Name

Manal

Last Name

El Din Farmawy

MiddleName

Salah

Affiliation

Assistant professor of Anesthesiology, Intensive care and Pain management, Faculty of Medicine, Zagazig University, Egypt

Email

msfaramay@medicine.zu.edu.eg

City

-

Orcid

-

Volume

31

Article Issue

5

Related Issue

55318

Issue Date

2025-05-01

Receive Date

2024-08-19

Publish Date

2025-05-01

Page Start

1,808

Page End

1,818

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_410657.html

Detail API

http://journals.ekb.eg?_action=service&article_code=410657

Order

7

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Ultrasound Guided Transversus Abdominis Plane Block Versus Single dose Epidural Morphine as A postoperative Analgesia after Elective Cesarean Section

Details

Type

Article

Created At

04 May 2025