Abstract
Aim: Postoperative peripheral trunk blocks are used for multimodal analgesia in caesarean sec-tions. This trial was planned to compare the efficacy of transversalis fascia plane block (TFPB) and transversus abdominis plane block (TAPB) in postoperative analgesia in patients undergo-ing caesarean section under spinal anaesthesia.
Material and method: In this prospective trial, ASA II-III risk group patients between the ages of 20-50 years who were scheduled for elective caesarean section under spinal anaesthesia were evaluated. Demographic data, duration of operation, presence of intraoperative and postopera-tive nausea & vomiting, pruritus, duration of first analgesia requirement, VAS values for 24 hours postoperatively, paracetamol, diclofenac sodium, the total amount of NSAIDs used were recorded.
Results: Patients were randomized into two groups: TFPB(75, 50%) and TAPB(75, 50%) groups. There was no significant difference in demographic data, comorbidity, ASA classifica-tion and operation times between the two groups (p>0.05). When the duration of the first post-operative analgesia requirement was evaluated, it was higher in the TFPB group (p
Key words: caesarean section, obstetrical anesthesia, nerve block, spinal anaesthesia, , postoperative pain
|
