Why the study?
TAP blocks are increasingly used after caesarean delivery, but their effectiveness when combined with multimodal oral analgesia required evaluation.
Does ultrasound-guided bilateral single-shot TAP block reduce the need for rescue oxycodone in parturients undergoing elective caesarean delivery on multimodal oral analgesia?
Population
Parturients scheduled for elective caesarean delivery under spinal anaesthesia
Comparison
Bilateral single-shot TAP blocks vs placebo, both added to multimodal oral analgesia
Design
Randomized controlled trial
Follow-up
First 24 hours after surgery
Key result
Bilateral single-shot transversus abdominis plane blocks did not significantly reduce rescue oxycodone requirement compared to placebo (11.4% vs 20.5%, P=0.122) after caesarean delivery.
Authors
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TAP blocks add no benefit atop multimodal oral analgesia post-caesarean; reinforces avoiding routine blocks in this setting.
RCT (n=159)
Double-blind
Block randomization
No
Does ultrasound-guided bilateral single-shot TAP block reduce the need for rescue oxycodone in parturients undergoing elective caesarean delivery on multimodal oral analgesia?
Absolute Event Rate: 11.4% vs 20.5%
p-value: p=0.122
Bilateral single-shot TAP blocks do not significantly reduce the need for rescue oxycodone when added to a multimodal oral analgesic regimen after caesarean delivery under spinal anaesthesia.
Yu et al. (2020) conducted an RCT in Postoperative pain after caesarean delivery (n=159). Bilateral single-shot transversus abdominis plane (TAP) block vs. Placebo (ultrasound scan without injection) plus multimodal oral analgesia was evaluated on Percentage of parturients requiring oxycodone as rescue analgesia (p=0.122). Bilateral single-shot transversus abdominis plane blocks did not significantly reduce rescue oxycodone requirement compared to placebo (11.4% vs 20.5%, P=0.122) after caesarean delivery.