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THE EFFECT OF TAP BLOCK USE IN POSTOPERATIVE ANALGESIC DRUGS IN CESAREAN SECTION
  • Mehmet Kenan Erol
Mehmet Kenan Erol
Harran Universitesi Tip Fakultesi

Corresponding Author:[email protected]

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Abstract

OBJECTİVES In our study, we aimed to compare the analgesic consumption, patient satisfaction rate, vital signs, and Visual Analogue Scale (VAS) scores of patients with and without ASA II, TAPblock, in cesarean surgery that takes general anesthesia, spinal anesthesia and epidural anesthesia. METHOD The files of 180 patients who underwent elementary cesarean section between January 2019 and December 2019 were analyzed retrospectively. ASA score, anesthesia method, age, weight, height, parity, TAP (Transvers abdominis plane) block application, VAS score, analgesia duration, additional analgesic requirement for hours, patient satisfaction, postoperative nausea, vomiting, urinary retention and other complications was recorded. 180 patients included in the study was divided in 6 groups: Group1 (n = 30): General anesthesia, Group 2 (n = 30): General anesthesia + TAP block, Group 3 (n = 30): Spinal anesthesia, Group 4 (n = 30): Spinal anesthesia + TAP block, Group 5 (n = 30): Epidural anesthesia, Group 6 (n = 30): Epidural anesthesia + TAP block. RESULTS There was no significant difference between the groups in terms of demographic variables. VAS scores of the first 24 hours were significantly different for Group 1. VAS scores in the 1st and 3rd hour were significantly higher in Group 1 than in other groups as well. The groups without TAP block were significantly higher than the VAS scores in the 12th hour. Further, Group 6 VAS score in 24th hour was significantly the lowest, and the earliest analgesic requirement was in Group 1. When the number of analgesic needs of the patients in 24 hour was examined, Group1 was found to be significantly the highest, and Group 6 was significantly the lowest of all groups. CONCLUSION The Epidural anesthesia + TAPblock group had the lowest VAS score, the fewest analgesic requirement, also the longest analgesia length, and the highest patient satisfaction.