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Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 10
First page : ( 13) Last page : ( 17)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2019.02760.8

An Audit to Pain Management of Lower Segmental Caesarean Section in a Tertiary Care Hospital

Panda Amrita1, Sahu Lingaraj1,*, Thakur Bhaskar2, Bharat Gunupuru1

1Associate Professor, Department of Anesthesiology, Kalinga Institute of Medical Science, Bhubaneswar, Odisha

2Assistant Professor, Department of Research and Publication Cell, Kalinga Institute of Medical Science, Bhubaneswar, Odisha

*Corresponding Author: Lingaraj Sahu, Department of Anesthesiology, Kalinga Institute of Medical Science, Bhubaneswar-751024, Odisha, e-mail: drlingarajsahu.2008@gmail.com

Online published on 23 December, 2019.

Abstract

Background

Women undergoing caesarean delivery present a unique set of challenges to the anesthesiologist in terms of postoperative pain management. The transversus abdominis plane block is an effective method of providing postoperative analgesia in patients undergoing abdominal wall incisions. Accordingly, this retrospective study was conducted and analyzed.

Method

Patients who underwent elective lower segment caesarean section under sub arachnoid block in last 3 months were scrutinized and 100 eligible records found. Categories into who received the transversus abdominis plane block (TAP Group) at the end of surgery and another was who did not receive the TAP block (Control group).

Results

From control group 26 patients complained of pain during first 4 hours, 43 during 8 hours and all 50 complained of pain within 12 hours. Similarly in TAP group 4 patients had complained of pain during first 4 hours, 16 within 8 hours, 29 within 12 hours, 42 within 16 hours. In TAP group 46 patients required rescue analgesics twice or less and 4 required thrice but none of them demanded more than three times whereas in the control group 7 patients demanded twice, 36 demanded three times and 7 of them demanded four times. The ‘p’ value < 0.01 was found to be statistically significant between all the groups.

Conclusion

TAP block is easy to perform under ultrasound guidance with minimal complications and side effects and it provides effective analgesia and holds good as part of a multimodal analgesia regime for patients undergoing lower segment caesarean section.

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Keywords

Lower segmental caesarean, Postoperative pain management, Transversus abdominis plane block.

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