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CORRESPONDENCE| Volume 20, ISSUE 1, P103-104, January 2011

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Transversus abdominis plane blocks; a national survey of techniques used by UK obstetric anaesthetists

Published:November 29, 2010DOI:https://doi.org/10.1016/j.ijoa.2010.08.005
      Women undergoing caesarean section are worried about intra- and postoperative pain.
      • Carvalho B.
      • Cohen S.E.
      • Lipman S.S.
      • Fuller A.
      • Mathusamy A.D.
      • Macario A.
      Patient preferences for anesthesia outcomes associated with cesarean delivery.
      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),
      • McDonnell J.G.
      • Curley G.
      • Carney J.
      • et al.
      The analgesic efficacy of transversus abdominis plane block after cesarean delivery: a randomised controlled trial.
      and ultrasound guidance has been investigated to provide reliable placement when performing TAP blocks for CS.
      • Belavy D.
      • Cowlishaw P.J.
      • Howes M.
      • Phillips F.
      Ultrasound-guided transversus abdominis plane block for analgesia after Caesarean delivery.
      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.
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      References

        • Carvalho B.
        • Cohen S.E.
        • Lipman S.S.
        • Fuller A.
        • Mathusamy A.D.
        • Macario A.
        Patient preferences for anesthesia outcomes associated with cesarean delivery.
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        • Curley G.
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        Anesth Analg. 2008; 106: 186-191
        • Belavy D.
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        The transversus abdominis plane block, when used as part of a multimodal regimen inclusive of intrathecal morphine, does not improve analgesia after cesarean delivery.
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