Transversus abdominis plane catheters for post-cesarean delivery analgesia: a series of five cases

Int J Obstet Anesth. 2012 Apr;21(2):176-80. doi: 10.1016/j.ijoa.2011.10.007. Epub 2011 Dec 5.

Abstract

We present five cases of women who received ultrasound-guided transversus abdominis plane catheters for post-cesarean delivery analgesia. Pain relief was maintained with repeated boluses of local anesthetic combined with oral acetaminophen and ibuprofen unless contraindicated. We conclude that repeated dosing through transversus abdominis plane catheters may be offered to women as an alternative or adjuvant to intrathecal morphine. Larger studies to evaluate the safety and further refinements of this novel procedure are warranted.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Muscles / diagnostic imaging*
  • Abdominal Muscles / surgery
  • Acetaminophen / administration & dosage
  • Administration, Oral
  • Adolescent
  • Adult
  • Analgesics, Non-Narcotic / administration & dosage
  • Anesthetics, Local / administration & dosage*
  • Catheters*
  • Cesarean Section*
  • Drug Therapy, Combination / methods
  • Female
  • Humans
  • Ibuprofen / administration & dosage
  • Pain Management / instrumentation*
  • Pain Management / methods
  • Pain Measurement / methods
  • Pain, Postoperative / drug therapy*
  • Pregnancy
  • Ultrasonography, Interventional / methods

Substances

  • Analgesics, Non-Narcotic
  • Anesthetics, Local
  • Acetaminophen
  • Ibuprofen