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TRANSVERSUS ABDOMINIS PLANE BLOCK IN CAESAREAN SECTION
ESRA Academy. Skalistira M. Sep 8, 2016; 138608; 0490 Topic: Trunk Blocks
Dr. Maria Skalistira
Dr. Maria Skalistira

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Abstract
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Background and Aims:

TAP block provide analgesia to the anterior abdominal wall. The aim of this double-blind randomized study was to investigate the effect of an ultrasound-guided TAP block with 48 hours local anesthetic infusion via a TAP catheter, after caesarean section. 

Methods:

 We included 24 pregnant women scheduled elective  CS  under SA in a randomized double –blind study.  24 patients separated in two groups, group A and group B. All patients received ultrasound-guided TAP  block using 20ml ropivacaine 0.2% with adrenaline 5γ/ml bilaterally. Patients of group A received active infusion ropivacaine 0.2% 5ml/h viaTAP catheter and the patients of group B received placebo infusion 5ml/h via a TAP catheter . As an additional analgesia was determined paracetamol  1gr  iv and diclofenac 75 mg iv for the middle pain and codeine phosphate +paracetamol+caffeine for the several  pain.

 We registered the consumption of the additional analgesia, pain scores  at the first.6th,12th 18th,24th,48th post operative hour  and side effects.

Results:

None of the patients of A group required additional analgesia  and the pain scores ranging between 0 and 2. No side effect  was reported. All patients of B group required additional analgesia after the 12th  hour. Eight patients received a tabl of Lonarid-N at 12th,24th,48th  hour respectively and five of them received also paracetamol and diclofenac.2 patients of group B received  Lonarid-N at 12th,24th  hour  and 1  received also paracetamol

Conclusions:

 TAP block is an effective and safe  technique for postoperative analgesia of  CS .

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