A randomised trial of the analgesic efficacy of ultrasound-guided transversus abdominis plane block after caesarean delivery under general anaesthesia.

Hdl Handle:
http://hdl.handle.net/10147/204633
Title:
A randomised trial of the analgesic efficacy of ultrasound-guided transversus abdominis plane block after caesarean delivery under general anaesthesia.
Authors:
Tan, Terry T; Teoh, Wendy H L; Woo, David C M; Ocampo, Cecilia E; Shah, Mukesh K; Sia, Alex T H
Affiliation:
From the Coombe Women and Infants University Hospital, Dublin, Ireland (TT) and Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore, Singapore (WHLT, DCMW, CEO, MKS, ATHS).
Citation:
A randomised trial of the analgesic efficacy of ultrasound-guided transversus abdominis plane block after caesarean delivery under general anaesthesia. 2012, 29 (2):88-94 Eur J Anaesthesiol
Journal:
European journal of anaesthesiology
Issue Date:
Feb-2012
URI:
http://hdl.handle.net/10147/204633
DOI:
10.1097/EJA.0b013e32834f015f
PubMed ID:
22183156
Abstract:
Previous studies examining the efficacy of transversus abdominis plane block after caesarean section have mostly been in parturients under spinal anaesthesia.; We postulated that the advantage of performing transversus abdominis plane block after caesarean section might be even more obvious after general anaesthesia, resulting in reduced 24-h consumption of morphine. DESIGN, SETTING, PATIENTS AND INTERVENTIONS: In this single centre, randomised double-blind controlled trial, 40 women who underwent caesarean delivery under general anaesthesia were allocated randomly to receive a transversus abdominis plane block or no block. In those who received the block, 20 ml of levobupivacaine 2.5 mg ml was deposited bilaterally into the transversus abdominis plane under ultrasound guidance using a Sonosite Titan (SonoSite, Bothell, Washington, USA) 7-13 MHz linear transducer at the end of surgery when the patient was still anaesthetised.; We recorded patient-controlled intravenous morphine use for 24 h, pain scores at rest and activity, sedation, nausea and vomiting, use of antiemetic medication and overall maternal satisfaction. The primary outcome was 24-h morphine consumption.; Patients who received the transversus abdominis plane block used significantly less morphine in 24 h than those in the control group [12.3 (2.6) vs. 31.4 mg (3.1), P < 0.001) and had higher satisfaction scores [16 (80%) vs. 5 (25%), P = 0.012). There were no differences between groups in the visual analogue pain scores, sedation level, nausea and vomiting or the use of antiemetic medication.; Ultrasound-guided transversus abdominis plane block reduced morphine consumption following caesarean section under general anaesthesia, with increased maternal satisfaction.
Item Type:
Article
Language:
en
ISSN:
1365-2346

Full metadata record

DC FieldValue Language
dc.contributor.authorTan, Terry Ten
dc.contributor.authorTeoh, Wendy H Len
dc.contributor.authorWoo, David C Men
dc.contributor.authorOcampo, Cecilia Een
dc.contributor.authorShah, Mukesh Ken
dc.contributor.authorSia, Alex T Hen
dc.date.accessioned2012-01-25T10:00:30Z-
dc.date.available2012-01-25T10:00:30Z-
dc.date.issued2012-02-
dc.identifier.citationA randomised trial of the analgesic efficacy of ultrasound-guided transversus abdominis plane block after caesarean delivery under general anaesthesia. 2012, 29 (2):88-94 Eur J Anaesthesiolen
dc.identifier.issn1365-2346-
dc.identifier.pmid22183156-
dc.identifier.doi10.1097/EJA.0b013e32834f015f-
dc.identifier.urihttp://hdl.handle.net/10147/204633-
dc.description.abstractPrevious studies examining the efficacy of transversus abdominis plane block after caesarean section have mostly been in parturients under spinal anaesthesia.-
dc.description.abstractWe postulated that the advantage of performing transversus abdominis plane block after caesarean section might be even more obvious after general anaesthesia, resulting in reduced 24-h consumption of morphine. DESIGN, SETTING, PATIENTS AND INTERVENTIONS: In this single centre, randomised double-blind controlled trial, 40 women who underwent caesarean delivery under general anaesthesia were allocated randomly to receive a transversus abdominis plane block or no block. In those who received the block, 20 ml of levobupivacaine 2.5 mg ml was deposited bilaterally into the transversus abdominis plane under ultrasound guidance using a Sonosite Titan (SonoSite, Bothell, Washington, USA) 7-13 MHz linear transducer at the end of surgery when the patient was still anaesthetised.-
dc.description.abstractWe recorded patient-controlled intravenous morphine use for 24 h, pain scores at rest and activity, sedation, nausea and vomiting, use of antiemetic medication and overall maternal satisfaction. The primary outcome was 24-h morphine consumption.-
dc.description.abstractPatients who received the transversus abdominis plane block used significantly less morphine in 24 h than those in the control group [12.3 (2.6) vs. 31.4 mg (3.1), P < 0.001) and had higher satisfaction scores [16 (80%) vs. 5 (25%), P = 0.012). There were no differences between groups in the visual analogue pain scores, sedation level, nausea and vomiting or the use of antiemetic medication.-
dc.description.abstractUltrasound-guided transversus abdominis plane block reduced morphine consumption following caesarean section under general anaesthesia, with increased maternal satisfaction.-
dc.language.isoenen
dc.titleA randomised trial of the analgesic efficacy of ultrasound-guided transversus abdominis plane block after caesarean delivery under general anaesthesia.en
dc.typeArticleen
dc.contributor.departmentFrom the Coombe Women and Infants University Hospital, Dublin, Ireland (TT) and Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore, Singapore (WHLT, DCMW, CEO, MKS, ATHS).en
dc.identifier.journalEuropean journal of anaesthesiologyen
dc.description.provinceLeinster-

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