Revista da Associacao Medica Brasileira
Post-cesarean analgesia: transversalis fascia plane block versus wound infiltration in a randomized trial
Par Teomete GC, Öztürk EG, Çimenoğlu I et 2 autres.
Contenu en anglais
Résumé
Objective
The aim of this study was to compare ultrasound-guided transversalis fascia plane block with local wound infiltration using equivalent local anesthetic doses within a standardized multimodal analgesia protocol.
Methods
This prospective, single-blind randomized trial was conducted between May and June 2024 at a tertiary care hospital. Women with American Society of Anesthesiologists physical status II-III undergoing cesarean delivery under spinal anesthesia received either bilateral ultrasound-guided transversalis fascia plane block or local wound infiltration with the same total dose and volume of bupivacaine. All patients were managed with standardized multimodal analgesia. Patients with contraindications to the study interventions or inability to use patient-controlled analgesia were excluded. The primary outcome was 24-h opioid consumption. Secondary outcomes included pain scores, rescue analgesia use, opioid-related adverse events, and complications.