Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA 98195-6540, USA.
Int J Obstet Anesth. 2012 Apr;21(2):176-80. doi: 10.1016/j.ijoa.2011.10.007. Epub 2011 Dec 5.
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.
我们报告了 5 例接受超声引导下腹横肌平面导管用于剖宫产术后镇痛的女性。除非有禁忌，否则通过重复给予局部麻醉剂联合口服对乙酰氨基酚和布洛芬来维持疼痛缓解。我们得出结论，通过腹横肌平面导管重复给药可以作为鞘内吗啡的替代或辅助方法提供给女性。需要进行更大规模的研究来评估这种新方法的安全性和进一步改进。
