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The analgesic efficacy of ultrasound-guided transversus abdominis plane block in comparison with subarachnoid morphine after cesarean section in morbidly obese parturients
المؤلفون المشاركون
Hijazi, Nasr A.
al-Mutawalli, Khalid F.
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 8، العدد 4 (31 ديسمبر/كانون الأول 2015)، ص ص. 648-652، 5ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2015-12-31
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الموضوعات
- المرأة الحامل
- البطن
- العضلات
- الألم
- طب التوليد
- العلاج
- مسكنات الألم
- الجراحة
- العملية القيصرية
- التخدير
- السعودية
- جدار البطن
الملخص EN
Context Cesarean section is one of the most commonly performed surgical procedures.
Intrathecal morphine is a popular and effective option for pain management following cesarean section.
It is associated with side effects such as nausea, vomiting, pruritus, urinary retention, reactivation of oral herpes, and, rare but life-threatening, respiratory depression.
The interest in transversus abdominis plane (TAP) block as a post-cesarean-delivery analgesic modality has surged in the past few years, and many studies have evaluated and compared its effi cacy with intrathecal morphine.
Aim The aim of the study was to compare spinal morphine and bilateral TAP block in cesarean section in morbidly obese parturients with respect to their postoperative analgesic effi cacy and narcotic consumption.
Settings and design This was a prospective randomized, double-blinded study.
Materials and methods Parturients, 20 years or older, with BMI greater than 35 kg/m2, who were scheduled to undergo elective cesarean section were recruited for the study.
They were assigned to receive either intrathecal morphine ( the ITM group) 0.1 mg or TAP block (the TAP group) using ropivacaine 0.5% 20 ml on each side.
The primary outcome was pain on movement, from supine to sitting position.
The secondary outcomes were the presence and severity of nausea and pruritus and the presence of respiratory depression.
Results We enrolled 60 patients, of whom 59 were analyzed.
The numeric rating scale score for pain was less in the ITM group than in the TAP block group, and this difference was statistically signifi cant.
Both pruritus and nausea happened in more patients in the ITM group than in the TAP block group, and this difference was statistically signifi cant in both the 8 and 16 h observations.
Conclusion In morbidly obese parturients, intrathecal morphine has superior post-cesarean-delivery analgesic effi cacy compared with the TAP block.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hijazi, Nasr A.& al-Mutawalli, Khalid F.. 2015. The analgesic efficacy of ultrasound-guided transversus abdominis plane block in comparison with subarachnoid morphine after cesarean section in morbidly obese parturients. Ain Shams Journal of Anesthesiology،Vol. 8, no. 4, pp.648-652.
https://search.emarefa.net/detail/BIM-655507
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hijazi, Nasr A.& al-Mutawalli, Khalid F.. The analgesic efficacy of ultrasound-guided transversus abdominis plane block in comparison with subarachnoid morphine after cesarean section in morbidly obese parturients. Ain Shams Journal of Anesthesiology Vol. 8, no. 4 (Oct. / Dec. 2015), pp.648-652.
https://search.emarefa.net/detail/BIM-655507
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hijazi, Nasr A.& al-Mutawalli, Khalid F.. The analgesic efficacy of ultrasound-guided transversus abdominis plane block in comparison with subarachnoid morphine after cesarean section in morbidly obese parturients. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 4, pp.648-652.
https://search.emarefa.net/detail/BIM-655507
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 652
رقم السجل
BIM-655507
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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