THE ROLE OF TRANSVERSUS ABDOMINIS PLANE BLOCK IN A MULTIMODAL ANALGESIA STRATEGY AFTER CESAREAN SECTION: A RANDOMIZED CONTROLLED CLINICAL TRIAL
DOI:
https://doi.org/10.59354/ydth175.2025.434Từ khóa:
TAP block, ERASTóm tắt
Objective: This study aimed to evaluate the effectiveness of the transversus abdominis plane (TAP) block in reducing postoperative pain after cesarean section.
Materials and Methods: A total of 46 parturients were enrolled in a randomized, controlled, single-blind clinical trial. The intervention group (n = 23) received a TAP block after surgery. Both groups used patient-controlled analgesia (PCA) with fentanyl when the visual analog scale (VAS) pain score was ≥ 4. Primary outcome measures included total fentanyl consumption, number of PCA demands, and VAS pain scores at rest and during movement at 6 hours and 24 hours postoperatively.
Results: The intervention group had significantly lower total fentanyl consumption within 24 hours compared with the control group (296 ± 121 mcg vs 362 ± 93.4 mcg; p < 0.05). The number of PCA activations was also lower in the intervention group. VAS pain scores at rest and during movement were significantly lower in the intervention group at 6 hours postoperatively. At 24 hours, VAS scores at rest remained significantly lower in the TAP group, whereas no significant difference was observed in VAS scores during movement.
Conclusion: Ultrasound-guided TAP block is a safe and effective analgesic technique that significantly reduces opioid consumption and improves pain control during the first 24 hours following cesarean section.
Tài liệu tham khảo
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