Ultrasound guided transversus abdominis plane block versus intrathecal morphine for analgesia post caesarean section: which is better?

The tranversus abdominis plane (TAP) block for postoperative analgesia after caesarean section may confer potential benefits comparable to that of intrathecal opioids. We compared postoperative analgesia, and the incidence of nausea, vomiting, pruritus and sedation between the TAP block and intrathe...

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Main Authors:	Aizatul Isla AL, Nadia MN, Wan Rahiza WM, Azrin MA, Thohiroh AR, Nurlia Y
Format:	Article
Language:	English
Published:	Department of Surgery, UKM Medical Centre 2013
Online Access:	http://journalarticle.ukm.my/6723/ http://journalarticle.ukm.my/6723/ http://journalarticle.ukm.my/6723/1/08-MS1100_%2839-45%29.pdf

id	ukm-6723
recordtype	eprints
spelling	ukm-67232016-12-14T06:42:01Z http://journalarticle.ukm.my/6723/ Ultrasound guided transversus abdominis plane block versus intrathecal morphine for analgesia post caesarean section: which is better? Aizatul Isla AL, Nadia MN, Wan Rahiza WM, Azrin MA, Thohiroh AR, Nurlia Y, The tranversus abdominis plane (TAP) block for postoperative analgesia after caesarean section may confer potential benefits comparable to that of intrathecal opioids. We compared postoperative analgesia, and the incidence of nausea, vomiting, pruritus and sedation between the TAP block and intrathecal morphine (ITM) in patients undergoing Caesarean section. This was a prospective, randomised clinical study. Fifty American Society of Anaesthesiologists physical status I or II patients, planned for elective caesarean section under spinal anaesthesia, were randomly allocated to the TAP group (patients receiving spinal anaesthesia with bilateral TAP block without ITM) or ITM group (patients receiving spinal anaesthesia with ITM without a TAP block). Assessment for pain, postoperative nausea and vomiting, pruritus and sedation was done upon arrival and discharge from recovery, and at 6, 12 and 24 hours, postoperatively in the post natal ward. Results were analysed using analysis of variance (ANOVA). There was no pain at rest in either groups. Both groups experienced pain on movement at the 12th (p = 0.6) and 24th hour (p = 0.4). None of the patients in the TAP group experienced nausea, vomiting, pruritus or sedation. However, these incidences were found to be significantly higher in the ITM group. Ultrasound guided TAP block provided comparable postoperative analgesia to ITM without the side effects of the latter. Department of Surgery, UKM Medical Centre 2013-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/6723/1/08-MS1100_%2839-45%29.pdf Aizatul Isla AL, and Nadia MN, and Wan Rahiza WM, and Azrin MA, and Thohiroh AR, and Nurlia Y, (2013) Ultrasound guided transversus abdominis plane block versus intrathecal morphine for analgesia post caesarean section: which is better? Journal of Surgical Academia, 3 (2). pp. 39-45. ISSN 2231-7481 http://jsurgacad.com/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	The tranversus abdominis plane (TAP) block for postoperative analgesia after caesarean section may confer potential benefits comparable to that of intrathecal opioids. We compared postoperative analgesia, and the incidence of nausea, vomiting, pruritus and sedation between the TAP block and intrathecal morphine (ITM) in patients undergoing Caesarean section. This was a prospective, randomised clinical study. Fifty American Society of Anaesthesiologists physical status I or II patients, planned for elective caesarean section under spinal anaesthesia, were randomly allocated to the TAP group (patients receiving spinal anaesthesia with bilateral TAP block without ITM) or ITM group (patients receiving spinal anaesthesia with ITM without a TAP block). Assessment for pain, postoperative nausea and vomiting, pruritus and sedation was done upon arrival and discharge from recovery, and at 6, 12 and 24 hours, postoperatively in the post natal ward. Results were analysed using analysis of variance (ANOVA). There was no pain at rest in either groups. Both groups experienced pain on movement at the 12th (p = 0.6) and 24th hour (p = 0.4). None of the patients in the TAP group experienced nausea, vomiting, pruritus or sedation. However, these incidences were found to be significantly higher in the ITM group. Ultrasound guided TAP block provided comparable postoperative analgesia to ITM without the side effects of the latter.
format	Article
author	Aizatul Isla AL, Nadia MN, Wan Rahiza WM, Azrin MA, Thohiroh AR, Nurlia Y,
spellingShingle	Aizatul Isla AL, Nadia MN, Wan Rahiza WM, Azrin MA, Thohiroh AR, Nurlia Y, Ultrasound guided transversus abdominis plane block versus intrathecal morphine for analgesia post caesarean section: which is better?
author_facet	Aizatul Isla AL, Nadia MN, Wan Rahiza WM, Azrin MA, Thohiroh AR, Nurlia Y,
author_sort	Aizatul Isla AL,
title	Ultrasound guided transversus abdominis plane block versus intrathecal morphine for analgesia post caesarean section: which is better?
title_short	Ultrasound guided transversus abdominis plane block versus intrathecal morphine for analgesia post caesarean section: which is better?
title_full	Ultrasound guided transversus abdominis plane block versus intrathecal morphine for analgesia post caesarean section: which is better?
title_fullStr	Ultrasound guided transversus abdominis plane block versus intrathecal morphine for analgesia post caesarean section: which is better?
title_full_unstemmed	Ultrasound guided transversus abdominis plane block versus intrathecal morphine for analgesia post caesarean section: which is better?
title_sort	ultrasound guided transversus abdominis plane block versus intrathecal morphine for analgesia post caesarean section: which is better?
publisher	Department of Surgery, UKM Medical Centre
publishDate	2013
url	http://journalarticle.ukm.my/6723/ http://journalarticle.ukm.my/6723/ http://journalarticle.ukm.my/6723/1/08-MS1100_%2839-45%29.pdf
first_indexed	2023-09-18T19:47:43Z
last_indexed	2023-09-18T19:47:43Z
_version_	1777406011885223936

Ultrasound guided transversus abdominis plane block versus intrathecal morphine for analgesia post caesarean section: which is better?

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