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Document Type

Original Article

Abstract

Background: Opioids are linked to significant health problems, such as nausea, vomiting, sedations, pruritus, and respiratory depressions in addition to newborns adverse effects via opioid transmitting across breastfeeding during caesarean section, even after the efficient stages of post-operative analgesia attained with the administration of opioids in combination with NSAIDs and paracetamol continuing to follow general anaesthesia.

Aim of the work: This study's objective is to evaluate pain levels at (rests and movements), and need for opioids following cesarean section using TAP block techniques (USG TAP, intraoperative direct vision TAP).

Patients and Methods: This study comprised 100 pregnant women who underwent elective caesarean sections (50 received intraoperative direct vision TAP block, and 50 received USG TAP block).

Results: In the current investigation, we discovered that there was no discernible difference between the two analysed groups in terms of patients' perceptions of pain during rest and movement at various follow-up dates (3H, 6H, 9H, 12H, 24H). Additionally, there was no discernible differences in the research groups' need for analgesics (First time of required analgesia analgesics requirement ratio). Additionally, both the USG and surgical TAP blocks were secure and equally effective at reducing pain following surgery. Additionally, surgical TAP block is an effective, safe, and quick procedure, especially for patients for whom USG TAP block is technically difficult and doesn't necessitate the presence of extra equipment.

Conclusion: After a caesarean section while under spinal anaesthesia, transversus abdominis plane blocks performed surgically and with ultrasound guidance were both safe and equally effective.

Keywords

Ultrasound-Guided Transversus Abdominis Plane Block, Open Surgical Technique, Cesarean Section

Subject Area

Obstetrics and Gynecology

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