Obstetric anesthesia

Ultrasound-guided transversalis fascia plane block or transversus abdominis plane block for recovery after caesarean section: A randomised clinical trial

Eur J AnaesthesiolPublished Randomised controlled trial

Authors' conclusion

TFP block used for analgesic purposes yielded a better quality recovery period than TAP block and also reduced opioid consumption.

Study context

Population
ASA 2 to 3 patients undergoing elective caesarean section under spinal anaesthesia, tertiary hospital79 analysed
Participants
93 participants
Comparison
Transversalis fascia plane (TFP) block vs transversus abdominis plane (TAP) block
  • TFP blockn = 40
  • TAP blockn = 39reference
Primary endpoint
Obstetric quality of recovery 11-Turkish (ObsQoR-11T) score
Methodological detailssingle-centre, double-blind
  • Single-centre
  • Double-blind

Primary result

As reported in the abstract

ObsQoR-11T score

P < 0.001

Secondary outcomes

Total morphine consumption

P < 0.001

Rescue analgesia required · 4 to 8 h

P = 0.02

Pain scores · 4 to 24 h

Slightly lower in the TFP block group between postoperative 4 and 24 h

Safety

Opioid-related side effects

No significant differences between groups

Original publication

Ultrasound-guided transversalis fascia plane block or transversus abdominis plane block for recovery after caesarean section: A randomised clinical trial. Eur J Anaesthesiol. Published 22 July 2024. doi:10.1097/eja.0000000000002041

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