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.
Copyright © 2011 Elsevier Ltd. All rights reserved.
MeSH terms
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Abdominal Muscles / diagnostic imaging*
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Abdominal Muscles / surgery
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Acetaminophen / administration & dosage
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Administration, Oral
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Adolescent
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Adult
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Analgesics, Non-Narcotic / administration & dosage
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Anesthetics, Local / administration & dosage*
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Catheters*
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Cesarean Section*
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Drug Therapy, Combination / methods
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Female
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Humans
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Ibuprofen / administration & dosage
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Pain Management / instrumentation*
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Pain Management / methods
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Pain Measurement / methods
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Pain, Postoperative / drug therapy*
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Pregnancy
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Ultrasonography, Interventional / methods
Substances
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Analgesics, Non-Narcotic
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Anesthetics, Local
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Acetaminophen
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Ibuprofen