Comparative Study Between Transversus Abdominis Plane Block and Intravenous Patient Controlled Analgesia After Spinal Anesthesia in Elective Cesarean Sections

Authors

Abdallah Mohamed Ahmed, Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt
Essam Shafiq Mohammad Abd El whab, Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt
Islam Ashraf Abdelaziz Mohyeldin, Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine for boys, Al-Azhar University, Cairo, EgyptFollow

Document Type

Original Article

Abstract

Background: One of the most popular surgical procedures worldwide is the caesarean section (CS). Both the mother and the newborn experience post-operative discomfort, particularly in the first 48 hours after birth. Objective: To assess the pain-relieving effectiveness of patient-controlled analgesia (PCA) with ultrasound-guided transversus abdominis plane (TAP) block following cesarean delivery. Patients and Methods: After getting ethical permission, 50 cases were finally enrolled, and they were allocated randomly to one of two groups. In group I,cases undergo spinal anaesthetic with 2.2 ml of 0.5% bupivacaine + 25 µg fentanyl, followed by TAP block when the procedure is complete. Patients in Group II get spinal anaesthesia with 2.2 ml 0.5% bupivacaine and 25 µg fentanyl, followed by PCA after the procedure is complete. Results: According to the study's findings, the TAP group's heart rate was considerably lower than the PCA group's after 15 minutes, two hours, and four hours. Despite this statistical discovery, the patients' overall health was not impacted by clinical monitoring, and the women were unaffected. Conclusion: This study highlighted that both groups showed efficient postoperative pain control after cesarean section. In addition, TAP block was not as effective as PCA in relieving postoperative pain, as evidenced by the lower VAS recordings in the PCA group.

Keywords

patient-controlled analgesia; Caesarean section; transversus abdominis plane

Subject Area

General Medicine

How to Cite This Article

Ahmed, Abdallah Mohamed; whab, Essam Shafiq Mohammad Abd El; and Mohyeldin, Islam Ashraf Abdelaziz (2023) "Comparative Study Between Transversus Abdominis Plane Block and Intravenous Patient Controlled Analgesia After Spinal Anesthesia in Elective Cesarean Sections," Al-Azhar International Medical Journal: Vol. 4: Iss. 10, Article 22.
DOI: https://doi.org/10.58675/2682-339X.2001