Women undergoing caesarean section are worried about intra- and postoperative pain.
1
Good 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),
2
and ultrasound guidance has been investigated to provide reliable placement when
performing TAP blocks for CS.
3
There 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.To read this article in full you will need to make a payment
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References
- 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].
Article info
Publication history
Published online: November 29, 2010
Accepted:
August 31,
2010
Identification
Copyright
© 2010 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.