Comparison of transversus abdominis plane block vs spinal morphine for pain relief after Caesarean section.
Authors
McMorrow, R C NNi Mhuircheartaigh, R J
Ahmed, K A
Aslani, A
Ng, S-C
Conrick-Martin, I
Dowling, J J
Gaffney, A
Loughrey, J P R
McCaul, C L
Affiliation
Department of Anesthesia, Rotunda Hospital, Parnell Square, Dublin 1, Ireland.Issue Date
2012-02-01T10:38:10ZMeSH
Abdominal MusclesAdult
Analgesia, Obstetrical/adverse effects/*methods
Analgesics, Opioid/*administration & dosage/adverse effects
Anesthesia, Obstetrical/methods
Anesthesia, Spinal
Antiemetics/administration & dosage
*Cesarean Section
Double-Blind Method
Drug Administration Schedule
Female
Humans
Morphine/*administration & dosage/adverse effects
Nerve Block/adverse effects/*methods
Pain Measurement/methods
Pain, Postoperative/*prevention & control
Patient Satisfaction
Pregnancy
Prospective Studies
Pruritus/chemically induced
Metadata
Show full item recordCitation
Br J Anaesth. 2011 May;106(5):706-12.Journal
British journal of anaesthesiaDOI
10.1093/bja/aer061PubMed ID
21498494Abstract
BACKGROUND: Transversus abdominis plane (TAP) block is an alternative to spinal morphine for analgesia after Caesarean section but there are few data on its comparative efficacy. We compared the analgesic efficacy of the TAP block with and without spinal morphine after Caesarean section in a prospective, randomized, double-blinded placebo-controlled trial. METHODS: Eighty patients were randomized to one of four groups to receive (in addition to spinal anaesthesia) either spinal morphine 100 microg (S(M)) or saline (S(S)) and a postoperative bilateral TAP block with either bupivacaine (T(LA)) 2 mg kg(-1) or saline (T(S)). RESULTS: Pain on movement and early morphine consumption were lowest in groups receiving spinal morphine and was not improved by TAP block. The rank order of median pain scores on movement at 6 h was: S(M)T(LA) (20 mm)Language
engISSN
1471-6771 (Electronic)0007-0912 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1093/bja/aer061
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