Abstract
Background: nowaday, the rating of C-section surgery has been increased over the decades. Usingpostoperative morphine or opioid causes some side effects, such as: PONV, pturitus...and increases the
risk of respiratory depression for children whose mothers have been used morphine or opioid. The object of
our study was to assess whether Transversus Abdominis Plane Block guided by ultrasound is the effective
non-opioid technique in multimodal pain management for postoperative C-section.
Materials and method: 80 ASA 1 and 2 parturients for C-section via Pfannestiel incision under spinal
anesthesia were devided into 2 groups, group A: TAP block and controlled group. In group A, we injected
20ml Levobupivacaine 0.25% mixed with 100mcg Adrenaline per side by using ultrasound. Control group
were received continuous intravenous morphine. Both groups were also used intravenous paracetamol 1g
and intravenous diclofenac 75mg every 8 hours. Verbal Numberical Rating Scale (VNRS), total morphine
consumed, side effects of 2 groups were scored at 2,4,6,8,10,12h postoperatively.
Results: the score of VNRS at rest and on movement were lower in TAP block versus control group
at 2,4,6,8,10,12h postoperatively (p<0.05). Total morphine consumed were also lower in TAP block group
(p<0.05). No side effects and complications were regconized in TAP block, but 50% of parturients in control
group got PONV.
Conclusion: TAP block reduces pain intensity and decrease supplemental morphine consumption. Therefore, TAP block is a safe and effective technique as a part of multimodal pain management for C-section.
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| Published | 10-12-2019 — Updated on 28-01-2025 | |
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| Issue | No. 58 (2019) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2019.58.5 | |
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