Anesth Analg: Transverse abdominal muscle plane combined with liposomal bupivacaine in the treatment of post-cesarean section pain

In women undergoing cesarean section using intrathecal morphine for spinal anesthesia, bupivacaine hydrochloride (HCl) for transversus abdominis plane (TAP) block may not improve postoperative analgesia, compared with bupivacaine hydrochloride HCl The action time is short.

The study included 186 full-term pregnant women undergoing elective cesarean section under spinal anesthesia.

The results showed that compared with bupivacaine HCl alone, women in the LB combined bupivacaine HCl group decreased their total opioid consumption within 72 hours (least squares mean [LSM] [standard error (SE)] MED , 15.

In the LB combined with bupivacaine HCl group, 63.

In summary, the results of this study show that the use of LB combined with bupivacaine HCl as part of a multimodal analgesic regimen containing intrathecal morphine for TAP block can reduce the consumption of opioids in women in the PCA group after cesarean section .

Original source:

Srdjan S Nedeljkovic, et al.