Comparative assessment of efficacy of various anesthesia options after cesarean section
The article describes the comparative assessment of efficacy of transversus abdominis plane block as a component of multimodal analgesia during cesarean section.Subjects and methods. 165 primiparous women were enrolled into the study, their average age made 30.5 years. Operative delivery was perform...
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2020-01-01
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| Series: | Вестник анестезиологии и реаниматологии |
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| Online Access: | https://www.vair-journal.com/jour/article/view/389 |
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| author | O. V. Ryazanova Yu. S. Аleksandrovich Yu. N. Gorokhova |
| author_facet | O. V. Ryazanova Yu. S. Аleksandrovich Yu. N. Gorokhova |
| author_sort | O. V. Ryazanova |
| collection | DOAJ |
| description | The article describes the comparative assessment of efficacy of transversus abdominis plane block as a component of multimodal analgesia during cesarean section.Subjects and methods. 165 primiparous women were enrolled into the study, their average age made 30.5 years. Operative delivery was performed under spinal anesthesia. All patients were divided into five groups. In the patients in Groups 1 and 3, postoperative analgesia was performed using transversus abdominis plane (TAP) block without ultrasound guidance, while in Groups 2 and 4, TAP block was guided by ultrasound. In Groups 1 and 2, ropivacaine hydrochloride was used at a concentration of 0.2%, in Groups 3 and 4 - 0.375%. In Group 5, paracetamol in combination with narcotic analgesics was used for analgesia. Pain intensity was assessed every hour using a visual analogue pain scale at rest and during movement during the 1st day after delivery. To assess the severity of the stress response and metabolic status of patients, concentrations of cortisol, prolactin and glucose in blood plasma was tested. The levels of cortisol and prolactin were tested in 4 stages: before surgery, 1 hour after surgery, 6 and 24 hours after delivery. Plasma glucose was tested in 3 stages: before surgery, 1 hour and 6 hours after surgery.Results. TAP block in combination with paracetamol provided adequate postoperative analgesia, reduced the consumption of analgesics, and also contributed to the earliest activation of new mothers after cesarean section. The use of 0.2% ropivacaine hydrochloride solution with TAP block was equally effective as the use of 0.375% solution of ropivacaine hydrochloride. Ultrasound guided TAP block significantly improved the quality of postoperative pain management. TAP block reduced the level of stress hormones in patients but in 24 hours, the levels of stress hormones in all groups of patients receiving and not receiving TAP block did not differ. |
| format | Article |
| id | doaj-art-b1d99db7791d4d58b23947ec77e21f30 |
| institution | Kabale University |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| publishDate | 2020-01-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj-art-b1d99db7791d4d58b23947ec77e21f302025-08-20T03:56:33ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532020-01-01166545910.21292/2078-5658-2019-16-6-54-59355Comparative assessment of efficacy of various anesthesia options after cesarean sectionO. V. Ryazanova0Yu. S. Аleksandrovich1Yu. N. Gorokhova2St. Petersburg State Pediatric Medical UniversitySt. Petersburg State Pediatric Medical UniversitySt. Petersburg State Pediatric Medical UniversityThe article describes the comparative assessment of efficacy of transversus abdominis plane block as a component of multimodal analgesia during cesarean section.Subjects and methods. 165 primiparous women were enrolled into the study, their average age made 30.5 years. Operative delivery was performed under spinal anesthesia. All patients were divided into five groups. In the patients in Groups 1 and 3, postoperative analgesia was performed using transversus abdominis plane (TAP) block without ultrasound guidance, while in Groups 2 and 4, TAP block was guided by ultrasound. In Groups 1 and 2, ropivacaine hydrochloride was used at a concentration of 0.2%, in Groups 3 and 4 - 0.375%. In Group 5, paracetamol in combination with narcotic analgesics was used for analgesia. Pain intensity was assessed every hour using a visual analogue pain scale at rest and during movement during the 1st day after delivery. To assess the severity of the stress response and metabolic status of patients, concentrations of cortisol, prolactin and glucose in blood plasma was tested. The levels of cortisol and prolactin were tested in 4 stages: before surgery, 1 hour after surgery, 6 and 24 hours after delivery. Plasma glucose was tested in 3 stages: before surgery, 1 hour and 6 hours after surgery.Results. TAP block in combination with paracetamol provided adequate postoperative analgesia, reduced the consumption of analgesics, and also contributed to the earliest activation of new mothers after cesarean section. The use of 0.2% ropivacaine hydrochloride solution with TAP block was equally effective as the use of 0.375% solution of ropivacaine hydrochloride. Ultrasound guided TAP block significantly improved the quality of postoperative pain management. TAP block reduced the level of stress hormones in patients but in 24 hours, the levels of stress hormones in all groups of patients receiving and not receiving TAP block did not differ.https://www.vair-journal.com/jour/article/view/389transversus abdominis plane blockcesarean sectionvisual analogue scale |
| spellingShingle | O. V. Ryazanova Yu. S. Аleksandrovich Yu. N. Gorokhova Comparative assessment of efficacy of various anesthesia options after cesarean section Вестник анестезиологии и реаниматологии transversus abdominis plane block cesarean section visual analogue scale |
| title | Comparative assessment of efficacy of various anesthesia options after cesarean section |
| title_full | Comparative assessment of efficacy of various anesthesia options after cesarean section |
| title_fullStr | Comparative assessment of efficacy of various anesthesia options after cesarean section |
| title_full_unstemmed | Comparative assessment of efficacy of various anesthesia options after cesarean section |
| title_short | Comparative assessment of efficacy of various anesthesia options after cesarean section |
| title_sort | comparative assessment of efficacy of various anesthesia options after cesarean section |
| topic | transversus abdominis plane block cesarean section visual analogue scale |
| url | https://www.vair-journal.com/jour/article/view/389 |
| work_keys_str_mv | AT ovryazanova comparativeassessmentofefficacyofvariousanesthesiaoptionsaftercesareansection AT yusaleksandrovich comparativeassessmentofefficacyofvariousanesthesiaoptionsaftercesareansection AT yungorokhova comparativeassessmentofefficacyofvariousanesthesiaoptionsaftercesareansection |