Aim: To observe
the analgesic effect of transversus abdominis plane (TAP) block in patients
with caesarean section postoperatively
Study design: Randomized controlled trail.
Place and duration of study: Department of Anesthesia, Bhatti International Hospital affiliated with
the Central Park Medical College & Hospital, Lahore from 1st July 2019 to
31st December 2019.
Methodology: Fifty four patients were studied undergoing caesarean section under
spinal or general anesthesia were randomized to undergo TAP block with
bupivacaine (n=27) and controlled group (n=27) with normal saline. The standard
analgesia was intravenous paracetamol and nalbuphine. At the end of the
surgery, ultrasound guided TAP block was given bilaterally using bupivacaine or
normal saline 10ml on either side. Pain intensity were observed using verbal
rating score (VRS) and Visual analogue scale (VAS, 0= no pain vs 10 sever pain)
at 2, 4, 6, 8, 10, 12 and 24 hours postoperatively in both groups.
received ultrasound guided TAP block showed less pain and more comfortable as
compared to the other group received intravenous analgesic drugs. Mean
requirement of intravenous analgesic drugs was reduced in the first 24 hour in
Conclusion: Ultrasound guided TAP block in patients after cesarean section reduces
pain and requirement of opioids and other analgesic drugs in first 24 hours.
abdominis plane block, Cesarean section, Bupivacaine, Nalbuphine