Document Type : Original Article
Authors
1
Obstetrics and Gynecology Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2
Obstetrics and Gynecology Department, Berket El-Saba General Hospital, Menoufia, Egypt
3
Department of Anesthesiology, Intensive care and Pain Management, Faculty of Medicine, Menouïa University, Menouïa, Egypt
Abstract
Objectives: The target of this research is to assess the efficiency of intravenous patient-controlled analgesia in comparison to ultrasound-guided TAP block in the first twenty-four hours after cesarean surgery in pregnant women who have had cesarean section.
Background: However, women's happiness continues to be an issue, despite the fact that pain treatment after cesarean section birth is highly crucial. It is helpful to identify the most appropriate analgesic method, medications, & dosage, as well as to provide effective therapy for postoperative pain, when the pain intensity of post-cesarean delivery is appropriately assessed.
Methods: A cross-sectional research has been conducted on 84 women at Faculty of Medicine, Menoufia university hospitals and Berket El-Saba General Hospital, who were admitted for delivery by elective cesarean section.
Individuals were separated into two groups: "group I" (n = 42) consisted of women who were given TAP block, & "group II" (n = 42) consisted of women who were given PCA.
Results: Following the operation, the patient's heart rate, respiration rate , pain score, intestinal motility, nausea ,& vomiting were evaluated at 2, 4, 6, 12, & 24 hours after the procedure. The "patient-controlled analgesia group" had a considerably lower level of pain compared to the "TAP group" (p value of 0.009 at 2 hours postoperative & 0.031 at 4 hours; respectively). In addition, women who were in the "patient-controlled analgesia group" had substantially greater levels of nausea & vomiting compared to those who were in the "TAP group" (p value = 0.007). It was more noticeable in the "TAP group" than in the "PCA category" when it came to the motility of the digestive tract.
Regarding duration of analgesia, time of first analgesia, and time of first ambulation were significantly lower in TAP block collection compared to PCA collection.
Conclusions: transversus abdominis plane block was favored because it prevented the systemic impact of opioids that were utilized in Patient Controlled Analgesia. Patient Controlled Analgesia was better than TAP block since it covered visceral discomfort. In addition, Patient Controlled Analgesia may be administered without much difficulty, while transversus abdominis plane block requires further training as well as an intraoperative ultrasound equipment. When modifying the dosages, there were very few complications & adverse effects associated with any of the two.
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