Outcome of tap block in the cesarean section on postoperative pain
DOI:
https://doi.org/10.62480/tjms.2022.vol15.pp139-145Keywords:
Caesarean Section, Anaesthesia, Postoperative, PainAbstract
This paper focuses on the Outcome of tap block in the cesarean section on postoperative pain where 100 patients from different hospitals in Iraq were included and distributed into two groups, 50 patients, which included pregnant women who underwent tap block, 50 control groups, which included pregnant women who underwent other types of anaesthesia for caesarean section. In this study, the ages of the patients ranged from 28 to 43 years, and preliminary information was collected regarding age, weight, comorbidities, and the amount of morphine. In this study, pregnant women who underwent a caesarean section between August 2020 to October 2021 were included, and the data were analysed statistically by using IBM soft SPSS program and Microsoft Excel 2016 the results which found in this study were the incidence of pain in the immediate postoperative period was for 25 patients in the control group (95% CI: 90.9 - 94.2) and ten patients in the tap block group. The average reported pain intensity score was 4.5±0.2, and the pain intensity score was 4.5±0.2. The weakest is 0.5 ± 0.12. As for complications after caesarean section, the frequency of complications was found in the control group more than in the tap block patients' group, with a statistical significance found.
References
Brennan F, Carr DB, Cousins M. Pain management: a fundamental human right. Anesth Analg. 2007;105 (1):205–21. https://doi.org/10.1213/01.ane.0000268145.52345.55
Size M, Soyannwo OA, Justins DM. Pain management in developing countries. Anaesthesia. 2007;62 (1):38–43. https://doi.org/10.1111/ ana.2007.62.issue-s1
Ajayi OO. Surgery in Nigeria. Arch Surg [Internet]. 1999;134 (2): [206– 11]. Available from: http://archsurg.jamanetwork.com/article. aspx?doi=10.1001/archsurg.134.2.206
Jankovic Z. Transversus abdominis plane block: the holy grail of anaesthesia for (lower) abdominal surgery. Period Biol. 2009;111 (2):203–8.
Ismail S. What is new in postoperative analgesia after caesarean sections? Anaesthesia, Pain Intensive Care. 2012;16 (2):123–6.
Rafi AN. Abdominal field block via the lumbar triangle revisited. Anaesthesia. 2012;67 (12):1399–401. https://doi.org/10.1111/anae.12077
McDonnell JG, O’Donnell B, Curley G, et al. The analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial. Anesth Analg. 2007;104 (1): 193–7. https://doi.org/10.1213/01.ane.0000250223.49963.0f
Petersen PL, Stjernholm P, Kristiansen VB, et al. The beneficial effect of transversus abdominis plane block after laparoscopic cholecystectomy in day-case surgery: a randomized clinical trial. Anesth Analg. 2012;115 (3):527–33
Lao TT, Sermer M, MaGee L, Farine D, Colman JM. Congenital aortic stenosis and pregnancy – A reappraisal. Am J Obstet Gynecol. 1993; 169:540–5.
Bhatla N, Lal S, Behera G, Kriplani A, Mittal S, Agarwal N, et al. Cardiac disease in pregnancy. Int J Gynaecol Obstet. 2003; 82:153–9.
Elkayam U, Bitar F. Valvular heart disease and pregnancy part I: Native valves. J Am Coll Cardiol. 2005; 46:223–30.
Langesaeter E, Dragsund M, Rosseland LA. Regional anaesthesia for a caesarean section in women with cardiac disease: A prospective study. Acta Anaesthesiol Scand. 2010; 54:46–54.
Bajwa SJ, Kalra S. Diabeto-anaesthesia: A subspecialty needing endocrine introspection. Indian J Anaesth. 2012; 56:513–7.
rd ed. Chestnut: Obstetric Anesthesia: Principles and Practice; p. 745. box 41-4.
Hoeldtke RD, Boden G, Shuman CR, Owen OE. Reduced epinephrine secretion and hypoglycemia unawareness in diabetic autonomic neuropathy. Ann Intern Med. 1982; 96:459–62.
Hogan K, Rusy D, Springman SR. Difficult laryngoscopy and diabetes mellitus. Anesth Analg. 1988; 67:1162–5.
Francis S, May A. Pregnant women with significant medical conditions: anaesthetic implications. Contin Educ Anaesth Crit Care Pain. 2004; 4:95–7.
Bajwa SJ, Kaur J, Singh A, Parmar S, Singh G, Kulshrestha A, et al. Attenuation of pressor response and dose sparing of opioids and anaesthetics with pre-operative dexmedetomidine. Indian J Anaesth. 2012; 56:123–8.
ter Braak EW, Evers IM, Willem Erkelens D, Visser GH. Maternal hypoglycemia during pregnancy in type 1 diabetes: Maternal and fetal consequences. Diabetes Metab Res Rev. 2002; 18:96–105.
Bajwa SJ, Sehgal V. Anesthesia and thyroid surgery: The never-ending challenges. Indian J Endocrinol Metab. 2013; 17:228–34.
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