ORIGINAL ARTICLE
Year : 2020 | Volume
: 4 | Issue : 2 | Page : 39--41
Transverse abdominis plane block versus sodium diclofenac-acetaminophen combination for postoperative analgesia following cesarean section
Nived Mohanan1, K Raghu2
1 Department of Anaesthesiology, Sakra World Hospital, Bengaluru, Karnataka, India
2 Department of Anaesthesiology, 4 Air Force Hospital, Kalaikunda, West Bengal, India
Correspondence Address:
Dr. K Raghu
Department of Anaesthesiology, 4 Air Force Hospital, Kalaikunda, West Midnapore, West Bengal
India
Background: Pain relief after cesarean section is essential for the early mobilization of the mother and proper care of the newborn. Among the several modalities available,transverse abdominis plane (TAP) block is newer and attractive. This study aims to compare the efficacy of TAP block compared to sodium diclofenac-acetaminophen combination for postoperative pain following cesarean section. Patients and Methods: Sixty patients undergoing elective cesarean section were included and divided into two groups: Group A received TAP block with 20 ml of 0.25% bupivacaine and Group B received 100 mg diclofenac suppositories followed by intravenous 1 g acetaminophen every 8 h. Participants were assessed for the severity of pain at 0, 4, 8, 12, 24, 36, and 48 h after surgery using the Numeric Rating Scale, the time of first demand for rescue analgesia, and total consumption of rescue analgesia. Results: Pain scores were lower at each point of time during 48 h in Group A as compared to Group B. Time of the first analgesia was statistically significantly longer (7.93 ± 0.70 vs. 4.47 ± 1.36;P < 0.001), and total consumption of rescue analgesia was also lower in Group A (78.13 ± 39.66 mg vs. 140.79 ± 40.15 mg;P < 0.001). Conclusion: TAP block was effective in controlling postoperative pain following cesarean section with a significant reduction in the use of rescue analgesia and their side effects.
How to cite this article:
Mohanan N, Raghu K. Transverse abdominis plane block versus sodium diclofenac-acetaminophen combination for postoperative analgesia following cesarean section.Bali J Anaesthesiol 2020;4:39-41
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How to cite this URL:
Mohanan N, Raghu K. Transverse abdominis plane block versus sodium diclofenac-acetaminophen combination for postoperative analgesia following cesarean section. Bali J Anaesthesiol [serial online] 2020 [cited 2023 Mar 26 ];4:39-41
Available from: https://www.bjoaonline.com/article.asp?issn=2549-2276;year=2020;volume=4;issue=2;spage=39;epage=41;aulast=Mohanan;type=0 |
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