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