Randomized Control Study to Compare the Efficacy of UltrasoundGuided Bilateral Posterior Transversus Abdominis Plane Block (US-BPTAB) versus Ultrasound-Guided Bilateral Rectus Sheath Block (US-BRSB) in Caesarean Section for Post-Operative Analgesia
Authors/Creators
- 1. Associate professor, Department of Anaesthesia, GMERS Medical College Sola, Ahmedabad, Gujarat
- 2. Professor and Head, Department of Anaesthesia, GMERS Medical College Sola, Ahmedabad, Gujarat
- 3. Third Year Resident, Department of Anaesthesia, GMERS Medical College Sola, Ahmedabad, Gujarat
- 4. Senior Resident, Department of Anaesthesia, GMERS Medical College Sola, Ahmedabad, Gujarat
- 5. First Year Resident, Department of Anaesthesia, GMERS Medical College Sola, Ahmedabad, Gujarat
Description
Background: In this study, the analgesic effectiveness of bilateral ultrasound-guided posterior transversus abdominis plane block (US-BPTAB) and bilateral ultrasound-guided rectus sheath block (US-BRSB) following caesarean delivery was examined. Aims and objective: The purpose of the current study was to assess post-operative pain using the Visual Analogue Scale as a measure of pain intensity (VAS). Duration of analgesia, total requirement of analgesic drug in first 24 hours, time for first rescue analgesia and patient’s satisfaction. Material and Methods: The posterior TAP block or Rectus sheath block was randomly assigned to 30 moms scheduled for caesarean sections under spinal anaesthesia. At the conclusion of surgery, the US-BPTAB group and the US-BRSB group each received a 20 mL injection of 0.25% ropivacaine into the Rectus sheath and posterior transversus abdominis plane under ultrasound guidance. The postoperative pain intensity in the first 24 hours was the main result. The duration of analgesia attained by each block, the total amount of tramadol consumed, and patient satisfaction were secondary outcomes. Results: Postoperatively at all time points, the VAS score in the PTAB group was significantly lower (P 0.0001). When compared to the RS group, the PTAB group’s 24-hour tramadol intake was significantly lower (91.43 vs. 145.71 vs. 61.08 mg, P 0.0001). When comparing the PTAB group to the RS group, the time for the first rescue analgesia was substantially longer (787.14±377.87 minutes vs. 445.71±264.44 minutes, p<0.0001). Conclusion: Posterior TAP block is more effective at relieving pain than the Rectus sheath block, has a longer duration of analgesic action, extends the time before the need for analgesia, is linked to lower tramadol consumption, and can be used in multimodal analgesia and opioid-sparing regimens following caesarean delivery.
Abstract (English)
Background: In this study, the analgesic effectiveness of bilateral ultrasound-guided posterior transversus abdominis plane block (US-BPTAB) and bilateral ultrasound-guided rectus sheath block (US-BRSB) following caesarean delivery was examined. Aims and objective: The purpose of the current study was to assess post-operative pain using the Visual Analogue Scale as a measure of pain intensity (VAS). Duration of analgesia, total requirement of analgesic drug in first 24 hours, time for first rescue analgesia and patient’s satisfaction. Material and Methods: The posterior TAP block or Rectus sheath block was randomly assigned to 30 moms scheduled for caesarean sections under spinal anaesthesia. At the conclusion of surgery, the US-BPTAB group and the US-BRSB group each received a 20 mL injection of 0.25% ropivacaine into the Rectus sheath and posterior transversus abdominis plane under ultrasound guidance. The postoperative pain intensity in the first 24 hours was the main result. The duration of analgesia attained by each block, the total amount of tramadol consumed, and patient satisfaction were secondary outcomes. Results: Postoperatively at all time points, the VAS score in the PTAB group was significantly lower (P 0.0001). When compared to the RS group, the PTAB group’s 24-hour tramadol intake was significantly lower (91.43 vs. 145.71 vs. 61.08 mg, P 0.0001). When comparing the PTAB group to the RS group, the time for the first rescue analgesia was substantially longer (787.14±377.87 minutes vs. 445.71±264.44 minutes, p<0.0001). Conclusion: Posterior TAP block is more effective at relieving pain than the Rectus sheath block, has a longer duration of analgesic action, extends the time before the need for analgesia, is linked to lower tramadol consumption, and can be used in multimodal analgesia and opioid-sparing regimens following caesarean delivery.
Files
IJPCR,Vol15,Issue1,Article89.pdf
Files
(1.4 MB)
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Additional details
Dates
- Accepted
-
2022-12-29
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue1,Article89.pdf
- Development Status
- Active
References
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