Department of Obstetrics and Gynecology, Kasr Alainy Hospital, Faculty of Medicine, Cairo University, Giza, Egypt
Research
A comparative clinical trial of preoperative vs. postoperative transversus abdominis plane block for analgesia after elective cesarean delivery: A focus on efficacy and procedural feasibility
Author(s): Khaled M. Alanwer*, Ahmed Alaa Eldin Wali, Mohamed Abdo, Ezz F. Ismail and Bahaa G Mohamed
Background and aim: Intrathecal morphine is the gold standard for postcesarean analgesia, with the Transversus Abdominis Plane (TAP) block being a key alternative when contraindicated; however, the optimal timing for TAP block administration remains uncertain. This study compared preoperative vs. postoperative TAP block in 223 patients undergoing elective cesarean delivery under spinal anesthesia. Patients and methods: This study is a comparative clinical trial, conducted at Saudi German Hospital from January 1, 2021, to January 5, 2022, following institutional ethical approval [ECC 2021-06]. The study enrolled 248 ASA II parturients were randomized, and 223 were included in the final analysis for primary outcomes. Participants were assigned to receive either a preoperative (n=110) or postoperative (n=113) ultrasound-guided TAP block with 0.25% bupivacaine. Primary outcomes were 24-ho.. Read More»