Effects of Ultrasonography-Guided Transversus Abdominis Plane Block on Postoperative Analgesia, Gastrointestinal Motility, and Mobilization in Patients Delivering Cesarean Delivery Under Spinal Anesthesia: A Retrospective Study Spinal Anestezi Altında Sezaryen Doğum Gerçekleştiren Hastalarda Ultrasonografi Kılavuzluğunda Uygulanan Transversus Abdominis Plan Bloğun Postoperatif Analjezi, Gastrointestinal Motilite ve Mobilizasyon Zamanına Etkisi: Retrospektif Çalışma
Duzce Medical Journal, cilt.25, sa.2, ss.167-172, 2023 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 25 Sayı: 2
- Basım Tarihi: 2023
- Doi Numarası: 10.18678/dtfd.1293886
- Dergi Adı: Duzce Medical Journal
- Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, CINAHL, EMBASE, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.167-172
- Anahtar Kelimeler: Obstetrical analgesia, postoperative pain, TAP block, cesarean section, early ambulation, gastrointestinal motility
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: The aim of this study was to investigate the effect of ultrasonography (USG)-guided transversus abdominis plane (TAP) block on postoperative analgesia, gastrointestinal motility, and mobilization time in patients who had a cesarean section under spinal anesthesia. Material and Methods: The follow-up forms of the total 81 patients who had elective cesarean delivery under spinal anesthesia between March 2022 and June 2022 were reviewed retrospectively. The patients were divided into two groups, 41 patients as the TAP block applied group (group T) and 40 patients as the control group (group C). Demographic data of patients, visual analog scale (VAS) values at postoperative 2nd-, 4th-, 6th-, 12th-, and 24th-hour, tramadol requirements, non-steroidal anti-inflammatory drug (NSAID) and tramadol consumption, postoperative nausea-vomiting (PONV) status, initial gas release times and mobilization times were analyzed. Results: The VAS scores of the patients in group T at the postoperative period 2nd-, 4th-, and 6th-hour were significantly lower than those of group C (p<0.001). However, the rate of PONV (p=0.006), tramadol requirement (p=0.002), amount of tramadol (p=0.003) and NSAID consumed (p<0.001), and mobilization time (p=0.005) were significantly lower in patients in group T. The time until the passage of flatus was short in Group T, although it was not significant (p=0.072). Conclusion: The USG-guided TAP block significantly contributes to multimodal analgesia after cesarean delivery and may contribute to the early mobilization of patients and the return of gastrointestinal functions.