Efficacy of the Bilateral Ilioinguinal-Iliohypogastric Block with Intrathecal Morphine for Postoperative Cesarean Delivery Analgesia

Joint Authors

Orebaugh, Steven L.
Pomerantz, Joel M.
Chelly, Jacques E.
Cobb, Benjamin T.
Phelps, Amy L.
Vallejo, Manuel C.
Steen, Talora L.

Source

The Scientific World Journal

Issue

Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2012-12-04

Country of Publication

Egypt

No. of Pages

6

Main Subjects

Natural & Life Sciences (Multidisciplinary)
Medicine
Information Technology and Computer Science

Abstract EN

The ilioinguinal-iliohypogastric (IIIH) block is frequently used as multimodal analgesia for lower abdominal surgeries.

The aim of this study is to compare the efficacy of IIIH block using ultrasound visualization for reducing postoperative pain after caesarean delivery (CD) in patients receiving intrathecal morphine (ITM) under spinal anesthesia.

Participants were randomly assigned to 1 of 3 treatment groups for the bilateral IIIH block: Group A = 10 mL of 0.5% bupivacaine, Group B = 10 mL of 0.5% bupivacaine on one side and 10 mL of a normal saline (NSS) placebo block on the opposite side, and Group C = 10 mL of NSS placebo per side.

Pain and nausea scores, treatment for pain and nausea, and patient satisfaction were recorded for 48 hours after CD.

No differences were noted with respect to pain scores or treatment for pain over the 48 hours.

There were no differences to the presence of nausea (P=0.64), treatment for nausea (P=0.21), pruritus (P=0.39), emesis (P=0.35), or patient satisfaction (P=0.29).

There were no differences in pain and nausea scores over the measured time periods (MANOVA, P>0.05).

In parturients receiving ITM for elective CD, IIIH block offers no additional postoperative benefit for up to 48 hours.

American Psychological Association (APA)

Vallejo, Manuel C.& Steen, Talora L.& Cobb, Benjamin T.& Phelps, Amy L.& Pomerantz, Joel M.& Orebaugh, Steven L.…[et al.]. 2012. Efficacy of the Bilateral Ilioinguinal-Iliohypogastric Block with Intrathecal Morphine for Postoperative Cesarean Delivery Analgesia. The Scientific World Journal،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-446964

Modern Language Association (MLA)

Vallejo, Manuel C.…[et al.]. Efficacy of the Bilateral Ilioinguinal-Iliohypogastric Block with Intrathecal Morphine for Postoperative Cesarean Delivery Analgesia. The Scientific World Journal No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-446964

American Medical Association (AMA)

Vallejo, Manuel C.& Steen, Talora L.& Cobb, Benjamin T.& Phelps, Amy L.& Pomerantz, Joel M.& Orebaugh, Steven L.…[et al.]. Efficacy of the Bilateral Ilioinguinal-Iliohypogastric Block with Intrathecal Morphine for Postoperative Cesarean Delivery Analgesia. The Scientific World Journal. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-446964

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-446964