Transversus abdominis plane block and quadratus lumborum block did not reduce the incidence or severity of chronic postsurgical pain following cesarean section: a prospective, observational study

Autor: Tomasz Gęca, Anna Kwaśniewska, Elżbieta Rypulak, Justyna Sysiak-Sławecka, Beata Potręć-Studzińska, Marcin Wiech, Paweł Piwowarczyk, Michał Borys, Mirosław Czuczwar
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
chronic postsurgical pain
Analgesic
02 engineering and technology
Critical Care and Intensive Care Medicine
Anesthesia
Spinal
Severity of Illness Index
Transversus Abdominis Plane Block
Pregnancy
Anesthesiology
0502 economics and business
0202 electrical engineering
electronic engineering
information engineering
medicine
Anesthesia
Obstetrical
Humans
RD78.3-87.3
Prospective Studies
reproductive and urinary physiology
anal
Abdominal Muscles
Pain
Postoperative
cesarean section
business.industry
RC86-88.9
Incidence (epidemiology)
Incidence
05 social sciences
Chronic pain
quadratus lumborum block
020206 networking & telecommunications
Nerve Block
Medical emergencies. Critical care. Intensive care. First aid
General Medicine
medicine.disease
Regimen
Anesthesiology and Pain Medicine
Anesthesia
Neuropathic pain
transversus abdominis plane block
Gestation
050211 marketing
Observational study
Female
Chronic Pain
business
Zdroj: Anaesthesiology Intensive Therapy, Vol 51, Iss 4, Pp 257-261 (2019)
ISSN: 1731-2531
1642-5758
Popis: Background Sparse data exist on the prevalence and severity of chronic postsurgical pain (CPSP) following cesarean section. Our study aimed to compare the effectiveness of transversus abdominis plane (TAP) block and quadratus lumborum block (QLB) in the prevention of CPSP after cesarean section. Methods The study was conducted at a tertiary hospital from June 2017 to July 2018 as a prospective, observational trial. We recruited 233 women with singleton pregnancies, above 18 years of age, ≥ 36 weeks of gestation, undergoing cesarean section under spinal anesthesia. The patients received either TAP block or QLB as the primary analgesia technique following cesarean section. The control group consisted of patients without any postsurgical plane block. The incidence and characteristics of chronic pain were evaluated using the Neuropathic Pain Symptom Inventory at the first, third, and sixth months after surgery. Results Fewer patients in the control group perceived CPSP than in TAP or QLB groups one and three months after cesarean section, but not after six months. Accordingly, CPSP severity was significantly lower in the control group than after plane blocks at the first and third month. No difference in the risk of CPSP was found between different indications for cesarean delivery. Conclusions CPSP is highly prevalent following cesarean section. The studied plane blocks did not reduce the incidence or severity of CPSP after cesarean section when compared to the standard analgesic regimen.
Databáze: OpenAIRE
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