Key result
Ilioinguinal and iliohypogastric nerve block with bupivacaine significantly reduced postoperative opioid use, with 90.66% of patients requiring no pentazocine compared to 30.6% with placebo.
Why the study?
Does ilioinguinal and iliohypogastric nerve block with bupivacaine reduce postoperative pain and opioid use in pregnant women undergoing elective cesarean section?
Population
150 pregnant women candidates for elective cesarean section in Shaheed Akbarabadi Hospital of Tehran…
Comparison
Ilioinguinal and iliohypogastric nerve block… vs 20ml of normal saline solution administered…
Design
RCT, Randomly allocated into case or control group, Double blinded
Follow-up
8 hours postoperatively
Authors
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Reduces early opioid needs and pain after cesarean; confirms efficacy of ilioinguinal-iliohypogastric block in RCT.
RCT (n=150)
Double-blind
Randomly allocated
No
Does ilioinguinal and iliohypogastric nerve block with bupivacaine reduce postoperative pain and opioid use in pregnant women undergoing elective cesarean section?
Absolute Event Rate: 90.66% vs 30.6%
p-value: p=0.0001
Ilioinguinal and iliohypogastric nerve block with bupivacaine using anatomical landmarks and direct visualization significantly reduces postoperative pain and opioid requirements up to 6 hours after cesarean section.
Raoofi et al. (2016) conducted an RCT in Postoperative pain after cesarean section (n=150). Ilioinguinal and iliohypogastric nerve block with bupivacaine vs. 20ml of normal saline solution (placebo) was evaluated on Proportion of patients requiring no postoperative pentazocine (p=0.0001). Ilioinguinal and iliohypogastric nerve block with bupivacaine significantly reduced postoperative opioid use, with 90.66% of patients requiring no pentazocine compared to 30.6% with placebo.
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