Evaluation of Analgesic Effect of Transversus Abdominis Plane Block after Emergency Cesarean Section

Abstract

Background: Adequate postoperative analgesia is crucial after a caesarean section (CS) to facilitate early ambulation and newborn care (breast feeding, maternal-fetal bonding), as well as to reduce morbidity. As part of a multimodal analgesic strategy, the transversus abdominis plane (TAP) block is used in CS postoperative analgesia. The goal of our study is to see how effective TAP block is as an analgesic in the first 48 hours following emergency CS by Pfannenstiel incision. n Methodologies: A total of 100 pregnant women receiving emergency CS were enrolled in this prospective double-blind trial. They were divided into two groups at random. Group A: Bupivacaine was used to inhibit TAP in 50 women. Group B (control group): 50 women were given TAP block with 0.9 percent saline. Results: At rest and during movement, VAS in group B was substantially lower than in group A, although there was no significant difference between the two groups at baseline. When compared to group A, the time to the first morphine request was greatly delayed, and the overall dosage of morphine was greatly reduced. At 12 hours and 1 day, group B had much less nausea and sedation than group A, but at 0 and 2 days, there was no significant difference between the two groups. Final Thoughts: The use of an ultrasound-guided TAP block following emergency CS lowers the need for analgesics in the first 48 hours following surgery. It reduces pain intensity, lengthens the time to initial rescue analgesia, and lowers overall morphine, sedation, and nausea scores.