Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
+44 1223 790975
ISSN: 2155-6148
+44 1223 790975
Farthing J
Tanzania
Research Article
A Randomized Controlled Trial Comparing the Efficacy of the Transversus
Abdominus Plane Block with Two Concentrations of Bupivacaine in
Patients Undergoing Cesarean Delivery
Author(s): Balasubramaniam P, Farthing J, Weinberg J, Yarmush J and Schianodicola JBalasubramaniam P, Farthing J, Weinberg J, Yarmush J and Schianodicola J
Background: To investigate whether Transversus Abdominis Plane (TAP) block using either 0.5% or 0.25% bupivacaine confers additional analgesia for Cesarean section patients when compared to placebo.
Methods: 60 parturients undergoing elective Cesarean delivery under combined spinal epidural anesthesia were enrolled and randomized into 3 groups. Bilateral TAP block was performed postoperatively using 15 ml solution on each side. Arm 1 received 0.5% bupivacaine, arm 2 received 0.25% bupivacaine and arm 3 received normal saline. All patients received epidural morphine after the umbilical cord was clamped. Pain and other parameters were assessed at 0 h, 3 h, 6 h, 24 h, and 48 h postoperatively. The primary outcome is the number of PCA boluses used by the patients postoperatively within 24 h. Appropriate statistical tests were used.
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DOI:
10.4172/2155-6148.1000753