Efficacy of Bilateral Transversus Abdominis Plane and Ilioinguinal-Iliohypogastric Nerve Blocks for Postcaesarean Delivery Pain Relief under Spinal Anesthesia
Joint Authors
Abdissa, Zewditu
Getinet, Habtamu
Adem, Seid
Yilikal Fentie, Demeke
Source
Anesthesiology Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-01-21
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Caesarean delivery can be associated with considerable postoperative pain.
While the benefits of transversus abdominis plane (TAP) and ilioinguinal-iliohypogastric (II-IH) nerve blocks on pain after caesarean delivery via Pfannenstiel incision have been demonstrated, no enough investigations on the comparison of these blocks on pain after caesarean delivery have been conducted in our setup.
Method.
An institutional-based prospective observational cohort study was conducted to compare the analgesic efficacy of those blocks.
We observed 102 postoperative parturients.
The outcome measure was the severity of pain measured using a numeric rating scale.
Result.
Twenty-four hours after surgery, the NRS score at rest was (0.90 ± 0.80) versus (0.67 ± 0.58) and at movement (1.2 ± 1.07) versus (0.88 ± 0.76) for the TAP and II-IH groups, respectively.
Twenty-four hours after surgery, the mean tramadol consumption was (55.45 ± 30.51) versus (37.27 ± 27.09) mg in TAP and II-IH groups, respectively (p = 0.009).
The mean first analgesic requirement time was also prolonged in the II-IH group.
Conclusion and Recommendations.
There was no statically significant difference between TAP and II-IH blocks regarding postoperative pain score, but the II-IH block significantly reduced the total tramadol consumption and prolonged the time to first analgesic request than TAP.
Thus, we recommend the II-IH nerve block.
American Psychological Association (APA)
Adem, Seid& Abdissa, Zewditu& Getinet, Habtamu& Yilikal Fentie, Demeke. 2018. Efficacy of Bilateral Transversus Abdominis Plane and Ilioinguinal-Iliohypogastric Nerve Blocks for Postcaesarean Delivery Pain Relief under Spinal Anesthesia. Anesthesiology Research and Practice،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1122867
Modern Language Association (MLA)
Adem, Seid…[et al.]. Efficacy of Bilateral Transversus Abdominis Plane and Ilioinguinal-Iliohypogastric Nerve Blocks for Postcaesarean Delivery Pain Relief under Spinal Anesthesia. Anesthesiology Research and Practice No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1122867
American Medical Association (AMA)
Adem, Seid& Abdissa, Zewditu& Getinet, Habtamu& Yilikal Fentie, Demeke. Efficacy of Bilateral Transversus Abdominis Plane and Ilioinguinal-Iliohypogastric Nerve Blocks for Postcaesarean Delivery Pain Relief under Spinal Anesthesia. Anesthesiology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1122867
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1122867