Transversus abdominis plane block versus wound infiltration for post‐cesarean section analgesia: A systematic review and meta‐analysis of randomized controlled trials
| Autor: | Antonio Schiattarella, Pasquale De Franciscis, Gaetano Riemma, Marco La Verde, Irene Esposito, Maddalena Morlando, Luigi Della Corte, Giovanni Sisti, Stefano Cianci, Pasquale Sansone |
|---|---|
| Přispěvatelé: | Riemma, Gaetano, Schiattarella, Antonio, Cianci, Stefano, La Verde, Marco, Morlando, Maddalena, Sisti, Giovanni, Esposito, Irene, DELLA CORTE, Luigi, Sansone, Pasquale, De Franciscis, Pasquale, Riemma, G., Schiattarella, A., Cianci, S., La Verde, M., Morlando, M., Sisti, G., Esposito, I., Della Corte, L., Sansone, P., De Franciscis, P. |
| Rok vydání: | 2021 |
| Předmět: |
Sedation
Cochrane Library transversus abdominis plane block analgesia cesarean delivery TAP block wound infiltration Abdominal Muscles Analgesia Obstetrical Anesthetics Local Female Humans Pain Postoperative Pregnancy Randomized Controlled Trials as Topic Cesarean Section Nerve Block law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Transversus Abdominis Plane Block law medicine 030212 general & internal medicine Adverse effect 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology General Medicine Confidence interval Anesthesia Relative risk Meta-analysis Abdominal Muscle TAP block analgesia cesarean delivery transversus abdominis plane block wound infiltration medicine.symptom business Human |
| Zdroj: | International Journal of Gynecology & Obstetrics. 153:383-392 |
| ISSN: | 1879-3479 0020-7292 |
| Popis: | Background: Transversus abdominis plane (TAP) block and wound infiltration (WI) with local anesthetics are used for postoperative analgesia after cesarean section (CS), reducing the need for administration of opioids. Objective: To compare the analgesic effect of TAP block related to WI. Search strategy: MEDLINE, Scopus, ClinicalTrials.gov, EMBASE, Cochrane Library, and CINAHL were searched from inception until April 2020. Selection criteria: Randomized controlled trials (RCTs) about women who underwent TAP block or WI after CS. Data collection and analysis: Relevant data were extracted and tabulated. Review Manager 5.3 was used for data analysis. Primary outcome was cumulative opioid consumption (COC) 24 and 48 h after CS. Main results: Five RCTs, enrolling 268 women, were included. There were no significant differences between the interventions regarding COC at 24 (mean difference [MD] -1.68, 95% confidence interval [CI] -6.29 to 2.93) and 48 hours (MD 1.28, 95% CI -10.44 to 13.00). Adverse effects (relative risk [RR] 0.93, 95% CI 0.75-1.16), gastrointestinal reactions (RR 1.30, 95% CI 0.46-3.68), or mild-moderate sedation (RR 1.12, 95% CI 0.72-1.74), pain scores, satisfaction of women, and withdrawals were similar between groups. Conclusions: There might be no significant advantages selecting TAP block over WI for post-CS analgesia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text