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Journals / Bağcılar Tıp Bülteni / 2021 / Cilt: 6 - Sayı: 2

Transverse Abdominis Plane Block-basedMultimodal Analgesia Protocol Reduces TramadolNeed After Cesarean Section

Transvers Abdominis Plan Bloğu Tabanlı Multimodal Analjezi Protokolü, Sezaryen Sonrası Tramadol İhtiyacını Azaltır

Savaş ÇÖMLEK
Pages
134–141
Publication Date
2022-10-12
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Results: At 2nd, 4th and 8th hours, tramadol-based patient-controlled analgesia-only group had significantly higher visual analogue scale scores than all other groups (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Various strategies of multimodal analgesia exist for pain control following caesarean section, aiming to improve analgesia, reduce opioid requirement, and therefore decrease the incidence of opioid related side effects.
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Key Findings & Data:This study aimed to compare the analgesic quality and reduction in tramadol need across four different multimodal analgesia strategies after caesarean section with general anesthesia.Method: A total of 160 patients that underwent elective cesarean section under general anesthesia were retrospectively included in one of the following groups: only tramadol-based patient-controlled analgesia, tramadol-based patient-controlled analgesia plus diclofenac suppository, tramadol-based patient-controlled analgesia plus diclofenac suppository plus paracetamol, and tramadol-based patient-controlled analgesia plus diclofenac plus transverse abdominis plane block.
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Conclusion & Impact:Results: At 2nd, 4th and 8th hours, tramadol-based patient-controlled analgesia-only group had significantly higher visual analogue scale scores than all other groups (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Various strategies of multimodal analgesia exist for pain control following caesarean section, aiming to improve analgesia, reduce opioid requirement, and therefore decrease the incidence of opioid related side effects. This study aimed to compare the analgesic quality and reduction in tramadol need across four different multimodal analgesia strategies after caesarean section with general anesthesia.Method: A total of 160 patients that underwent elective cesarean section under general anesthesia were retrospectively included in one of the following groups: only tramadol-based patient-controlled analgesia, tramadol-based patient-controlled analgesia plus diclofenac suppository, tramadol-based patient-controlled analgesia plus diclofenac suppository plus paracetamol, and tramadol-based patient-controlled analgesia plus diclofenac plus transverse abdominis plane block. Visual analogue scale scores and tramadol use were monitored and recorded at 2nd, 4th, 8th, 12th, and 24th hours. Results: At 2nd, 4th and 8th hours, tramadol-based patient-controlled analgesia-only group had significantly higher visual analogue scale scores than all other groups (p

Özet

Amaç: Sezaryen sonrası postoperatif ağrı tedavisinde, opioid ihtiyacınıazaltmayı ve dolayısıyla opioidle ilişkili yan etkilerin insidansını azaltmayıamaçlayan çeşitli multimodal analjezi stratejileri mevcuttur. Bu çalışma,genel anestezi ile sezaryen olan hastalarda uygulanan dört farklımultimodal analjezi stratejisinde, tramadol ihtiyacındaki azalmayı veanaljezi kalitesini karşılaştırmayı amaçladı.Yöntem: Genel anestezi altında elektif sezaryen yapılan toplam 160 hastageriye dönük olarak şu gruplardan birine dahil edildi: sadece tramadolbazlı hasta kontrollü analjezi, tramadol bazlı hasta kontrollü analjezi artıdiklofenak fitil, tramadol bazlı hasta- kontrollü analjezi artı diklofenak fitilartı parasetamol ve tramadol bazlı hasta kontrollü analjezi artı diklofenakartı transversus abdominis plan bloğu. Görsel analog skala skorları vetramadol kullanımı 2., 4., 8., 12. ve 24. saatlerde izlenerek kaydedildi.Bulgular: İkinci, 4. ve 8. saatlerde, sadece tramadol kullanılan hastakontrollü analjezi grubu diğer tüm gruplardan anlamlı olarak daha yüksekgörsel analog skala puanlarına sahipti (p

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Cite This Article

ÇÖMLEK, S. (2022). Transverse Abdominis Plane Block-basedMultimodal Analgesia Protocol Reduces TramadolNeed After Cesarean Section. Bağcılar Tıp Bülteni, Cilt: 6 - Sayı: 2, 134–141. https://ajindex.com/articles/458911

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