The aim of this study is to compare Surgical Transversus abdominis plane block and Ultrasound guided transversus abdominis plane block (TAPB) as a postoperative analgesic regimen in female patients undergoing elective cesarean delivery.
Full term pregnant women
Older than 21 years of age
Had elective cesarean section with Pfannenstiel incision.
Patients with cesarean section using different surgical incision
History of addiction [including opioids and benzodiazepines]
Allergy to the anesthetic analgesia
Psychological disorders
Parallel
surgical TAP block
Procedure/Surgeryperformed by 40 ml of 0.25% bupivacaine (10 ml 0.5% bupivacaine bilaterally diluted with 10cc normal saline and 100 μg of fentanyl), the total volume was divided equally and administered bilaterally by the surgeon.
US guided TAP block
Procedure/Surgeryperformed by 40 ml of 0.25% bupivacaine (10 ml 0.5% bupivacaine bilaterally diluted with 10cc normal saline and 100 μg of fentanyl), the total volume was divided equally and administered bilaterally.
Time to perform block.
The time taken to perform the block will be recorded by an independent observer.
Heart rate
Patients hemodynamics (heart rate will be recorded)
Mean arterial blood pressure
Patients hemodynamics (mean arterial blood pressure will be recorded)
Pain score
The Visual Analogue Scale (VAS) measures pain intensity. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be').
Time to first analgesic request
The time to first analgesic request will be recorded
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