Women undergoing caesarean section are worried about intra- and postoperative pain.
1Good analgesia with minimal side effects is desirable if early mobility, bonding with the infant and prevention of chronic pain are to be achieved. There has been recent interest in the transversus abdominis plane (TAP) block for postoperative analgesia after caesarean section (CS),
- Carvalho B.
- Cohen S.E.
- Lipman S.S.
- Fuller A.
- Mathusamy A.D.
- Macario A.
Patient preferences for anesthesia outcomes associated with cesarean delivery.
Anesth Analg. 2005; 101: 1182-1187
2and ultrasound guidance has been investigated to provide reliable placement when performing TAP blocks for CS.
- McDonnell J.G.
- Curley G.
- Carney J.
- et al.
The analgesic efficacy of transversus abdominis plane block after cesarean delivery: a randomised controlled trial.
Anesth Analg. 2008; 106: 186-191
3There is no agreement about the optimal technique for performing TAP blocks, and both landmark and ultrasound-guided methods continue to be evaluated. We conducted a survey amongst UK-based obstetric anaesthetists to investigate the use and techniques of TAP blocks for post CS analgesia.
- Belavy D.
- Cowlishaw P.J.
- Howes M.
- Phillips F.
Ultrasound-guided transversus abdominis plane block for analgesia after Caesarean delivery.
Br J Anaesth. 2009; 103: 726-730
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- Patient preferences for anesthesia outcomes associated with cesarean delivery.Anesth Analg. 2005; 101: 1182-1187
- The analgesic efficacy of transversus abdominis plane block after cesarean delivery: a randomised controlled trial.Anesth Analg. 2008; 106: 186-191
- Ultrasound-guided transversus abdominis plane block for analgesia after Caesarean delivery.Br J Anaesth. 2009; 103: 726-730
- WHO recognition of the global obesity epidemic.Int J Obes. 2008; 32: S120-S126
- A case of liver trauma with a blunt regional anesthesia needle while performing transversus abdominis plane block.Reg Anesth Pain Med. 2008; 33: 274-275
- The transversus abdominis plane block, when used as part of a multimodal regimen inclusive of intrathecal morphine, does not improve analgesia after cesarean delivery.Reg Anesth Pain Med. 2009; 34: 586-589
National Institute for Health and Clinical Excellence. Caesarean Section. NICE London: April 2004. Available at <http://guidance.nice.org.uk/CG13/Guidance /pdf/English/>; [accessed 20.02.10].
Published online: November 29, 2010
Accepted: August 31, 2010
© 2010 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.