Open AccessThe Insiders' Experiences with Continuous Transversus Abdominis Plane Blocks for Analgesia After Cesarean Delivery
Author(s) -
LeWendling Linda,
Ihnatsenka Barys,
Haller Allison,
Esch Andrea T.,
Boezaart André P.
Publication year - 2013
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1111/j.1526-4637.2012.01341.x
Subject(s) - transversus abdominis , medicine , cesarean delivery , anesthesia , pain management , pregnancy , biology , genetics
Objective. Transversus abdominis plane blocks have been recently utilized for analgesia after cesarean delivery. However, little data concerning continuous transversus abdominis plane blocks has been reported in the existing literature. Available studies mainly examine the efficacy of single‐injection blocks, and only one small case series has been published regarding continuous blocks for analgesia after cesarean delivery. First‐hand experiences and observations of three acute pain medicine specialists who received a continuous transversus abdominis plane block for analgesia after cesarean delivery are presented. Settings and Patients. Three physicians specialized in acute and perioperative pain medicine personally underwent continuous transversus abdominis plane block placements for analgesia after cesarean delivery via a disposable infusion pump at the same teaching hospital. Results. In a very motivated, well‐supported, and informed patient after uncomplicated cesarean delivery, the use of continuous transversus abdominis plane blocks for analgesia offers the significant advantages of early functional recovery and excellent prolonged analgesia. Conclusion. The patients experienced postoperative continuous transversus abdominis plane blocks that seem to be of value in limiting opiate use and improving analgesia with daily activities in the acute postoperative phase after cesarean delivery.