We recruited parturients undergoing elective caesareans for this multicenter study. Following written informed consent, they received a spinal anaesthetic without intrathecal morphine for their caesarean section.
Every woman received regular analgesics along with oral morphine if required. The primary outcome was comparison of the hour area under the curve AUC pain scores. Secondary outcomes included morphine consumption, adverse events, and persistent pain one month postoperatively. Recruitment of women was planned but the study was prematurely terminated due to the occurrence of generalized seizures in one patient of the TAP group.
AUC of pain at rest and during mobilization were not significantly different: 50 [ Morphine consumption 0 [0β20] mg in the TAP group and 10 [0β In cases of morphine-free spinal anesthesia for cesarean delivery, no difference between TAP block and CWI for postoperative analgesia was suggested.
TAP block may induce seizures in this specific context. Consequently, such a technique after a caesarean section cannot be recommended.
This is an open-access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Competing interests: The authors have declared that no competing interests exist. Caesarean delivery is one of the most commonly performed surgical procedures and postoperative pain is a great concern for women [1].
