Comparison of the Effects of Intratecal Morphine Administration and Transversus Abdominis Muscle Block as Post-Caesari Section Analgesics
DOI:
https://doi.org/10.55606/jurrikes.v5i2.8697Keywords:
Analgetic, Cesarean Section, Morphin, Postoperative Pain, TAP BlockAbstract
The problem that is often faced by patients after cesarean section surgery is pain in the operating area, many therapies are used to reduce pain scores in patients. From non-medical mentosa, medical therapy to pain intervention. Two of the methods to reduce postoperative cesarean section pain are intrathecal morphine injections and transversus abdominis muscle blocks (TAP blocks). This study aims to find differences in pain scores after sectio caesaria surgery between patients who received intrathecal morphine and patients who received TAP block. An experimental study used the Post Test Only Control Group Design on Dirgahayu Hospital patients. A total of 108 patients were divided into 3 groups. Group K was not intervened by pain, group B was intervened by TAP block, group M was intervened with intrathecal morphine injection. VAS score was measured at the 4th hour postoperatively. Data were analyzed with the One-Way ANOVA test followed by the Post Hoc Test Bonferroni. Lower pain score was obtained in the group that received pain intervention than the control group with a significant difference (p<0.05). The pain scores of patients who received TAP block were lower than those who received intrathecal morphine with a significant difference (p<0.05). There was a significant difference in pain scores between intrathecal morphine and TAP block. It is hoped that TAP block administration will be used to reduce the pain scale after sectio caesaria surgery. Further research is needed regarding these 2 methods.
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Ban, M. G., Choi, Y. S., & Koo, B. N. (2022). Analgesic effect of intrathecal morphine combined with low dose bupivacaine on postoperative analgesia after liver resection: A randomized controlled study. Journal of Personalized Medicine, 12, 211. https://doi.org/10.3390/jpm12020211
Butterworth, J. F., Mackey, D. C., & Wasnick, J. D. (2018). Morgan and Mikhail’s clinical anaesthesiology (6th ed.). McGraw-Hill Education.
Cosgrave, D., Shanahan, E., Conlon, N., & Joshi, M. (Eds.). (2017). Intrathecal opioids. World Federation of Societies of Anaesthesiologists (WFSA), 347, 1–6.
Cosgrave, D., Shanahan, E., Conlon, N., & Joshi, M. (Eds.). (2022). Comparison of spinal morphine and transversus abdominis plane block on postoperative pain management in patients undergoing cesarean section under spinal anesthesia: A randomized controlled trial. Frontiers in Medicine. https://doi.org/10.3389/fmed.2022.814538
Cummings, A., Orgill, D. B., & Fitzgerald, B. M. (2022). Intrathecal morphine. StatPearls Publishing. PubMed. https://www.ncbi.nlm.nih.gov/books/NBK532938/
Escudero-Fung, M., Lehman, E. B., & Karamchandani, K. (2020). Timing of transversus abdominis plane block and postoperative pain management. Local and Regional Anesthesia, 13, 185–193. https://doi.org/10.2147/LRA.S300842
Girgin, N., Gurbet, A., Turker, G., et al. (2008). Intrathecal morphine in anesthesia for caesarean delivery: Dose response relationship for combinations of low dose intrathecal morphine and spinal bupivacaine. Journal of Clinical Anesthesia, 20(3), 180–185. https://doi.org/10.1016/j.jclinane.2007.11.018
Liu, L., Xie, Y. H., Zhang, W., et al. (2018). Effect of transversus abdominis plane block on postoperative pain after colorectal surgery: A meta-analysis of randomized controlled trials. Medical Principles and Practice, 27, 158–165. https://doi.org/10.1159/000485198
Loane, H., Preston, R., Douglas, M. J., Massey, S., Papsdorf, M., & Tyler, J. (2012). A randomized controlled trial comparing intrathecal morphine with transversus abdominis plane block for post cesarean delivery analgesia. International Journal of Obstetric Anesthesia, 21(2), 112–118. https://doi.org/10.1016/j.ijoa.2012.02.006
Nofiyanto, E., Laksono, R. M., & Isngadi. (2020). Transversus abdominis plane block as postoperative analgesic for caesarean section patients with severe mitral stenosis. Journal of Anaesthesia and Pain, 1(2), 38–43. https://doi.org/10.22399/jap.v1i2.372
Rahimzadeh, P., Hamid, S. R. F., Lativi, K., et al. (2022). A comparison of effect of preemptive versus post-operative use of ultrasound-guided bilateral transversus abdominis plane (TAP) block on pain relief after laparoscopic cholecystectomy. Scientific Reports, 12, 623. https://doi.org/10.1038/s41598-021-03963-2
Sato, I., Iwasaki, H., Luthe, S. K., et al. (2020). Comparison of intrathecal morphine with continuous patient-controlled epidural anesthesia versus intrathecal morphine alone for post-caesarean section analgesia: A randomized controlled trial. BMC Anesthesiology, 20, 138. https://doi.org/10.1186/s12871-020-01161-6
Sultan, P., Halpern, S. H., Pushpanathan, E., et al. (2016). The effect of intrathecal morphine dose on outcomes after elective caesarean delivery: A meta-analysis. Anesthesia & Analgesia (International Anesthesia Research Society), 123(1), 154–164. https://doi.org/10.1213/ANE.0000000000001345
Wiisanen, M. T., & Raghavendra, M. (2018). Transversus abdominis block. StatPearls Publishing. PubMed. https://www.ncbi.nlm.nih.gov/books/NBK532938/
Zhao, Y., Yan, J., & Chen, X. D. (2018). Transversus abdominis plane block for postoperative pain relief after abdominal surgery. Journal of Anesthesia and Perioperative Medicine, 5, 242–246. https://doi.org/10.4172/2471-9781.1000527
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