The effect of bilateral TAP block administration on analgesic consumption in cesarean operations under spinal anesthesia

Ömer Fatih Şahin; Yakup Aksoy; Ayhan Kaydu; Erhan Gökçek

doi:10.21601/ortadogutipdergisi.299190

ORTADOĞU TIP DERGİSİ - ORTADOGU MEDICAL JOURNAL

The effect of bilateral TAP block administration on analgesic consumption in cesarean operations under spinal anesthesia

Spinal anestezi uygulanan sezaryen operasyonlarında bilateral TAP bloğun analjezik tüketimine etkisi

Ömer Fatih Şahin ¹ ^* , Yakup Aksoy ¹, Ayhan Kaydu ², Erhan Gökçek ²

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Ortadogu Tıp Derg, Volume 10, Issue 2, pp. 149-153

https://doi.org/10.21601/ortadogutipdergisi.299190

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Abstract

Aim: The purpose of this study was determine the efficacy of ultrasound guided transverse abdominis plane (TAP) block in patients after cesarean operation under spinal anesthesia.
Material and Method: In this retrospective study, we reviewed the patient files which was elective cesarean operation under spinal anesthesia between 2016 may and october. Patients were divided into two groups as non-TAP block (Group 1) and TAP block group (Group 2). Demographic data, visual analogue scale (VAS) values, nonsteroidal anti-inflammatory drug and opioid consumption were examined at postoperative 1, 2, 4, 6, 9, 12 and 24 hours. Also the first analgesic and opioid agent administration times were recorded.
Results: Postoperative 1st and 4th hour VAS values of group 1 patients (n=27) were significantly higher than Group 2 (n=31). Opioids were used in 18 patients (66.6%) in Group 1 and 9 patients (29%) in Group 2. The first opioid administration time was 200.27 minutes in Group 1 and 263.33 minutes in Group 2 (p <0.05). In Group 2, the mean time of first opioid application was 263.33 min and in Group 1 200.27 min.
Conclusions: We found that the TAP block decreased the postoperative VAS values and the opioid consumption after cesarean operation under spinal anesthesia.

Keywords: Postoperative pain, transverse abdominal plain block, cesarean section

Öz

Amaç: Çalışmamızda spinal anestezi altında ultrason eşliğinde uygulanan transvers abdominis plain (TAP) bloğun; sezaryen operasyonlarında postoperatif analjezi ve opioid tüketimine etkisini retrospektif olarak incelemeyi amaçladık.
Gereç ve Yöntem: 2016 Mayıs-Ekim ayları arasında elektif şartlarda spinal anestezi altında sezaryen operasyonu olan ve çalışmaya dahil edilen 58 hastanın dosyaları retrospektif olarak incelendi. Hastalar TAP blok uygulananlar (Grup 2) ve uygulanmayanlar (Grup 1) olarak iki gruba ayrıldı. Demografik veriler, postoperatif 1, 2, 4, 6, 9, 12 ve 24. saatte bakılan vizüel analog skala (VAS) değerleri, non steroid anti-inflamatuvar ilaç ve opioid tüketimleri değerlendirildi. Ayrıca ilk analjezik ve opioid ajan yapılma zamanları da kaydedildi.
Bulgular: Grup 1 hastaların (n=27) postoperatif 1. ve 4. saat VAS değerleri Grup 2’ye (n=31) göre anlamlı derecede yüksek bulundu. Grup 1’de 18 hastada (%66,6), grup 2’de 9 hastada (%29) opioid kullanıldı. İlk opioid uygulama zamanı grup 1 de ortalama 200,27 dakika, Grup 2’de ise 263.33 dakika olarak bulundu (p<0,05).
Sonuç: Sezaryen gibi alt abdominal cerrahi operasyonları sonrası ağrı kontrolünde TAP blok uygulanmasının opioid tüketimini azalttığını düşünmekteyiz.

Keywords: Postoperatif ağrı, transvers abdominis plain blok, sezaryen

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Citation

Şahin ÖF, Aksoy Y, Kaydu A, Gökçek E. The effect of bilateral TAP block administration on analgesic consumption in cesarean operations under spinal anesthesia. Ortadogu Tıp Derg. 2018;10(2):149-53. https://doi.org/10.21601/ortadogutipdergisi.299190

Şahin, Ö. F., Aksoy, Y., Kaydu, A., & Gökçek, E. (2018). The effect of bilateral TAP block administration on analgesic consumption in cesarean operations under spinal anesthesia. Ortadoğu Tıp Dergisi, 10(2), 149-153. https://doi.org/10.21601/ortadogutipdergisi.299190

Şahin, Ö. F., Aksoy, Y., Kaydu, A., and Gökçek, E. (2018). The effect of bilateral TAP block administration on analgesic consumption in cesarean operations under spinal anesthesia. Ortadoğu Tıp Dergisi, 10(2), pp. 149-153. https://doi.org/10.21601/ortadogutipdergisi.299190

Şahin ÖF, Aksoy Y, Kaydu A, Gökçek E. The effect of bilateral TAP block administration on analgesic consumption in cesarean operations under spinal anesthesia. Ortadogu Tıp Derg. 2018;10(2), 149-153. https://doi.org/10.21601/ortadogutipdergisi.299190

Şahin, Ömer Fatih, Yakup Aksoy, Ayhan Kaydu, and Erhan Gökçek. "The effect of bilateral TAP block administration on analgesic consumption in cesarean operations under spinal anesthesia". Ortadoğu Tıp Dergisi 2018 10 no. 2 (2018): 149-153. https://doi.org/10.21601/ortadogutipdergisi.299190

Şahin, Ömer Fatih et al. "The effect of bilateral TAP block administration on analgesic consumption in cesarean operations under spinal anesthesia". Ortadoğu Tıp Dergisi, vol. 10, no. 2, 2018, pp. 149-153. https://doi.org/10.21601/ortadogutipdergisi.299190