Comparison Between Transversus Abdominis Plane Block and Intravenous Patient-Controlled Analgesia in pain control after cesarean section

Abstract

Background: The optimal analgesic regimen for major surgery should provide
adequate pain relief, allow early mobilization, early return of gut function and
feeding, and not cause complications. The cornerstone of analgesia remains
multimodal analgesia combining regional analgesia or local anesthetic techniques and
trying to avoid parenteral opioids and their side effects. Multiple prospective studies
have demonstrated that minimizing opioids is associated with earlier return of bowel
function and shorter length of hospital stay
Aim of the Study: The aim of the study is the selection of best method for analgesia
transversus abdominis plane block or IV PCA to control postoperative pain after
cesarean section.
Materials & Methods: This study was a randomized control trial which included 84
women having indication for cesarean delivery with pfannenstiel incision under spinal
anesthesia who fulfilled the inclusion criteria in Obstetrics and Gynecology
Department, Faculty of Medicine, Zagazig University in the period from march 2021
to September 2021.
Results: we found that both group Ⅰ and Ⅱ had statistically insignificant in VAS,
additional analgesic need p>0.05.both group Ⅰ and Ⅱ had statistically insignificant
in HR, RR, MAP and SPO2 p>0.05.There was significant difference in between two
studied groups as regard nausea-vomiting in 1st hr. P<0.05, but no difference was
observed after the 1st hour.There was no statistically significant difference among two
studied groups regarding early mobilization and early bowel movement p>0.05, with
early mobilization and early bowel movement more in group Ⅰ than group Ⅱ at 3rd hr.
Conclusion: The present study demonstrated that transversus abdominis plane block
is effective as IVPCA in pain control after cesarean section.