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CURRENT ISSUEMINERVA ANESTESIOLOGICA

A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,036

Frequency: Monthly

ISSN 0375-9393

Online ISSN 1827-1596

 

Minerva Anestesiologica 2015 February;81(2):195-204

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Transversus abdominis plane block for analgesia after Cesarean delivery. A systematic review

Fusco P. 1, Scimia P. 2, Paladini G. 3, Fiorenzi M. 2, Petrucci E. 2, Pozone T. 1, Vacca F. 1, Behr A. 4, Micaglio M. 5, Danelli G. 6, Cofini V. 7, Necozione S. 7, Carta G. 8, Petrini F. 3, Marinangeli F. 2

1 Unità Operativa Complessa di Anestesia e Rianimazione, Ospedale S. Salvatore, L’Aquila, Italia;
2 Cattedra di Anestesia e Rianimazione, Dipartimento di Medicina Clinica, Sanità Pubblica, Scienze della Vita e dell’Ambiente (MESVA), Università degli Studi di L’Aquila, L’Aquila, Italia;
3 Cattedra di Anestesia, Rianimazione e Terapia Intensiva, Università degli Studi “G. D’Annunzio” Chieti-Pescara, Chieti, Italia;
4 Unità Operativa Complessa Istituto di Anestesia e Rianimazione, Azienda Ospedaliera di Padova, Università degli Studi di Padova, Padova, Italia;
5 Dipartimento ad Attività Integrata Materno-Infantile dell’Azienda Ospedaliero Universitaria Careggi-Firenze, Firenze, Italia;
6 Dipartimento di Anestesia e Medicina Perioperatoria, Istituti Ospitalieri Di Cremona, Cremona, Italia;
7 Dipartimento di Medicina Interna e Sanità Pubblica, Università degli Studi di L’Aquila, L’Aquila, Italia;
8 Dipartimento di Ginecologia ed Ostetricia, Università degli Studi di L’Aquila, L’Aquila, Italia

Cesarean delivery is a major surgical procedure, after which a woman can experience substantial postoperative discomfort or pain. Inadequate postoperative analgesia is one of the most common reasons for poor patient satisfaction following cesarean delivery. Although spinal or systemic opioids are currently the gold standard to achieve effective analgesia, they are often associated with side effects. In the last few years there has been growing interest in abdominal plane blocks, with promising data on their efficacy. The transversus abdominis plane (TAP) block is a regional analgesic technique which is gaining acceptance in postoperative analgesia for lower abdominal surgeries. In this systematic review of articles published as of 31 December 2013, we searched the principal medical databases for randomized controlled trials that assessed the efficacy of ultrasound (US)-guided TAP block following cesarean delivery and reported on postoperative opioid consumption and pain score, opioid-related side-effects and patient satisfaction. Although controversy surrounds the utility of US-guided TAP block in cesarean section, evidence suggests that when correctly executed as part of a multimodal analgesic regimen, TAP block may reduce postoperative opioid consumption and opioid-related side effects, improving postoperative pain control and patient satisfaction. Further studies are necessary to explore this field of research.

language: English


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