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Abstract
Objectives: To evaluate the multimodal analgesia of intrathecal morphine and TAP
block in the application of ERAS for emergency cesarean section and to investigate the rate of side effects and complications of this study Methods: A prospective, cross - sectional descriptive study. Totally, 515 parturients
were divided into twogroups. Postoperative analgesia with spinal morphine (MTS):
295 and transverse abdominis plane (TAP) block group: 220.
Results: Average pain score (VAS) of the TMS group (2.35 ± 0.26) were lower
than that of the TAP group (3.54 ± 0.57). The MTS group (1.36%) needed rescue morphine less than the TAP group (15.91%) with p < 0.01. The rate of urinary catheter
removal within 12 hours of surgery of the MTS group (60.48%) was lower than that
of the TAP group (74.05%), p < 0.05. Early exercise 2 hours, early eating 6 hours
after surgery and the time to move parturients out of the recovery room in the two groups were similar (p > 0,05). Maternal satisfaction in the two groups MTS and TAP
(88.47%% and 85.90%) were also similar, p > 0.05. Side effects: rash, itching was higher in MTS groups (5.08%) compared to TAP group (2.72%), p < 0.05 and the vomiting rate of the MTS group (10.51%) was higher than the TAP group (3.18%), p < 0.01. But chills were less in MTS group compared to TAP group with p < 0.05. Apgar at the first minute in the MTS group (8.58 ± 0.25) and the TAP group (8.46 ± 0.27) were not statistically significant.
Conclusion: Neuraxial morphine is onsidered the gold standard for post cesarean analgesia. Transabdominal plane blocks (TAP - Block) improve postoperative analgesia after cesarean delivery in patients who did not receive intrathecal morphine, which is also an option of interest.
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| Published | 29-12-2024 | |
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| Issue | No. 87 (2023) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.87.1 | |
| Keywords | ERAS trong mổ lấy thai cấp, đánh giá giảm đau đa mô thức trong áp dụng ERAS |
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