Transversus Abdominis Plane Block versus Intravenous Patient Controlled Analgesia for Postoperative Pain Relief in Cesarean Section
Nafea, N., lotfy, H., soliman, A., Amin, S. (2025). Transversus Abdominis Plane Block versus Intravenous Patient Controlled Analgesia for Postoperative Pain Relief in Cesarean Section. EKB Journal Management System, 15(15), 1-7. doi: 10.21608/ebwhj.2024.310647.1346
Nourhan Hossam El Din Nafea; Hashem adel lotfy; Ahmed tawfeek soliman; Sabry Mohamed Amin. "Transversus Abdominis Plane Block versus Intravenous Patient Controlled Analgesia for Postoperative Pain Relief in Cesarean Section". EKB Journal Management System, 15, 15, 2025, 1-7. doi: 10.21608/ebwhj.2024.310647.1346
Nafea, N., lotfy, H., soliman, A., Amin, S. (2025). 'Transversus Abdominis Plane Block versus Intravenous Patient Controlled Analgesia for Postoperative Pain Relief in Cesarean Section', EKB Journal Management System, 15(15), pp. 1-7. doi: 10.21608/ebwhj.2024.310647.1346
Nafea, N., lotfy, H., soliman, A., Amin, S. Transversus Abdominis Plane Block versus Intravenous Patient Controlled Analgesia for Postoperative Pain Relief in Cesarean Section. EKB Journal Management System, 2025; 15(15): 1-7. doi: 10.21608/ebwhj.2024.310647.1346

Transversus Abdominis Plane Block versus Intravenous Patient Controlled Analgesia for Postoperative Pain Relief in Cesarean Section

Evidence Based Women's Health Journal
Volume 15, Issue 15, January 2025, Page 1-7  XML PDF (477.68 K)
Document Type: Original Article
DOI: 10.21608/ebwhj.2024.310647.1346
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Authors
Nourhan Hossam El Din Nafea email 1; Hashem adel lotfy2; Ahmed tawfeek soliman2; Sabry Mohamed Amin3
1Obstetrics and Gynecology department, Faculty of Medicine, Tanta University
2Obstetrics and Gynecology department, Faculty of Medicine, Tanta University, Tanta, Egypt.
3Anaesthesiology and Surgical Intensive Care Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Abstract
Objectives: This work aimed to contrast two methods (TAP block and PCA) for postoperative analgesia following caesarean section (CS).
Study Design: Prospective Randomized Work.
Patients and Methods: This Prospective Randomized work was performed on 100 participants aged from 19 to 40 years old, female, singleton pregnancies undergoing elective caesarean delivery utilizing spinal anesthesia undergoing elective CS. Participants had been divided randomly into two equal groups: Group 1: underwent TAP block and Group 2: used controlled analgesia.
Results: Time till the first demand for analgesics had been substantially prolonged in group I contrasted to group II (P <0.001). Total ketorolac Tromethamine dose in 1st 24 hours postoperative was substantially decreased in group I contrasted to group II (P <0.001). Visual analogue scale (VAS) score measurements were substantially reduced at 2h, 4h and 8h in group I contrasted to group II (P<0.05). satisfaction of patient was substantially greater in group I contrasted to group II (P =0.004). Postoperative vomiting and nausea were substantially lower in group I contrasted to group II (P =0.001). Respiratory depression was insignificant different between both groups.
Conclusion: TAP block was found to produce better analgesic effects and less analgesic consumption compared to PCA in patients undergoing CS delivery. TAP block was also associated with better patient’s satisfaction and less occurrence of complications.
Keywords
Caesarean section; pain relief; patient-controlled analgesia; transversus abdominis plane block; VAS
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