Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2021.62.472
Intraoperative superior hypogastric plexus block for pain relief after a cesarean section: a case-control study
Hakan Peker
; Nisantasi University Health Vocational School, Istanbul, Turkey
Kemal Atasayan
; Department of Obstetrics and Gynecology Bezmialem Vakıf University Faculty of Medicine, Istanbul, Turkey
Berna Haliloglu Peker
; Department of Obstetrics and Gynecology Maltepe University Faculty of Medicine, Istanbul, Turkey
Cetin Kilicci
; Department of Obstetrics and Gynecology Zeynep Kamil Women and Children Diseases Education and Research Hospital, Istanbul, Turkey
Sažetak
Aim To investigate the efficacy of intraoperative superior
hypogastric plexus (SHP) block for postoperative pain relief
in patients undergoing a cesarean section.
Methods One hundred and fifteen pregnant women
scheduled for an elective cesarean under general anesthesia were randomly divided into an SHP block (n=65) and
a control group (n=50). SHP block was administered with
bupivacaine injection. The controls received saline injection in the SHP area. Postoperative pain was assessed by
the 10-cm visual analog scale (VAS). The presence of side
effects and complications, including opioid or non-steroidal anti-inflammatory drugs (NSAID) requirement, gastrointestinal function, nausea, and vomiting were evaluated.
Results The SHP block group had significantly lower VAS
scores 2, 6, 24, and 48 hours postoperatively (P<0.001) and
required a significantly lower rescue dose of NSAID or opioids (P=0.003, P<0.05, respectively).
Conclusions SHP block may be an effective and safe pain
relief treatment after a cesarean section.
Ključne riječi
Hrčak ID:
278470
URI
Datum izdavanja:
21.10.2021.
Posjeta: 367 *