Postoperative analgesia after caesarean section with transversus ă abdominis plane block or continuous infiltration wound catheter: A ă randomized clinical trial. TAP vs. infiltration after caesarean section

Fanny Klasen, Aurelie Bourgoin, Francois Antonini, Emma Dazeas, Florence Bretelle, Karine Baumstarck, Marc Leone and Claude Martin ()
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Florence Bretelle: URMITE - Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes - IRD - Institut de Recherche pour le Développement - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale - IFR48 - INSB-CNRS - Institut des sciences biologiques - CNRS Biologie - CNRS - Centre National de la Recherche Scientifique, Gynépole - AMU - Aix Marseille Université - Hôpital Nord [CHU - APHM]
Karine Baumstarck: AMU - Aix Marseille Université
Marc Leone: URMITE - Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes - IRD - Institut de Recherche pour le Développement - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale - IFR48 - INSB-CNRS - Institut des sciences biologiques - CNRS Biologie - CNRS - Centre National de la Recherche Scientifique

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Abstract: Objective: Single shot transversus abdominis plane (TAP) block and ă continuous local anesthetic infiltration wound catheter (CLAIWC) ă decreased the morphine consumption after caesarean section. The aim of ă this study was to compare the analgesic efficacy of CLAIWC and ă ultrasound-guided TAP block. ă Method: Sixty patients undergoing caesarean section were prospectively ă randomized. After the caesarean section, the postoperative analgesia was ă randomized to either a CLAIWC localized below the fascia with an ă elastomeric pump for 48 hours or a bilateral ultrasound-guided TAP block ă with injection of ropivacaine. Every patient had a morphine pump ă patient-controlled analgesia. The primary outcome was the morphine ă consumption during the first 48 hours. Secondary outcomes were pain ă score levels, adverse effects of opioids, and patient satisfaction. ă Variables were collected during 48 hours after the caesarean section. ă Results: Median cumulative 48-hour morphine consumption was 17 [8-51] ă mg in the TAP group versus 21 [7-34] mg in the CLAIWC group (P = 0.3). ă We did not find a difference between the groups regarding pain, side ă effects and satisfaction scores. ă Conclusion: As part of a multimodal analgesic regimen, there is no ă significant difference between the TAP block and CLAIWC for ă postoperative analgesia after a caesarean section. (C) 2016 Societe ă francaise d'anesthesie et de reanimation (Sfar). Published by Elsevier ă Masson SAS. All rights reserved.

Keywords: quality (search for similar items in EconPapers)
Date: 2016-12
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Published in Anaesthesia Critical Care & Pain Medicine, 2016, 35 (6), pp.411-416. ⟨10.1016/j.accpm.2016.02.006⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01482381

DOI: 10.1016/j.accpm.2016.02.006

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