The Efficacy of Transverse Abdominal Plane Block with Bupivacaine Combined with Dexamethasone for the Management of Post-Caesarean Pain,
Auteur(s): I. Guibla1*, S. I. S. Traoré2, K. B. Ki3, S. C. Ilboudo1, B. I. Bado1, C. A. Ouattara4, B. E. Komboigo5, J. N. Savadogo1, D. A. Sawadogo1, D. A. Somé5, Z. C. Méda4, I. A. Traoré1
Résumé

Introduction
Caesarean section (CS) is a commonly performed major surgical procedure that causes significant postoperative pain. The objective of this study was to evaluate the efficacy of the transverse abdominal plane block (TAPB) in the management of post-caesarean pain at the Souro Sanou Teaching Hospital (CHUSS) of Bobo Dioulasso.
Methodology
This was a single blind randomised clinical trial. One hundred patients admitted for CS under spinal anaesthesia were
randomised into two groups using the sealed envelope method. The intrathecal morphine (ITM) group received 100 µg morphine intrathecally at induction and the TAPB group a bilateral TAPB at the end of the caesarean section with 20 ml of 0.25% bupivacaine and 4 mg dexamethasone in the same syringe on each side. The proportion of mild pain, numeric rating scale (NRS)

Mots-clés

Caesarean Section Postoperative pain Transverse abdominal plane block Burkina Faso

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