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A randomized trial comparing surgeon-administered intraoperative transversus abdominis plane block with anesthesiologist-administered transcutaneous block

International Journal of Obstetric Anesthesia May 04, 2018

Narasimhulu DM, et al. - Post-cesarean analgesia provided by intraoperative surgeon-administered transversus abdominis plane (TAP) block (surgical TAP) was compared with that achieved with anesthesiologist-administered transcutaneous ultrasound-guided TAP block (conventional TAP), presuming that surgical TAP blocks would take less time to perform than conventional TAP blocks. The primary and secondary outcomes included time taken to perform the block and postoperative pain scores as well as 24-hour opioid requirements, respectively. To compare block time, student’s t-test was used and Kruskal-Wallis test to assess opioid consumption and pain-scores. Compared with conventional TAP blocks, surgical TAP blocks were found to be feasible and less time consuming, while offering comparable analgesia after cesarean delivery.
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