Comparison between Ultrasound-Guided Bilateral Ilioinguinal-Iliohypogastric Nerve Block and Ultrasound-Guided Transverses Abdominus Plane Block with the Usage Bubivacaine and Dexamethasone for Post-Cesarean Section Analgesia: A Pilot Study

MAHMOUD ALALFY, Ph.D., REHAM MAHROUS, M.D.;; NIHAL M. EL-DEMIRY, M.D., RABAB SABRY, M.D.;; OMNIA MANDOUR, M.D., MANAL MOUSSA, M.D.;

doi:10.21608/mjcu.2021.203334

Comparison between Ultrasound-Guided Bilateral Ilioinguinal-Iliohypogastric Nerve Block and Ultrasound-Guided Transverses Abdominus Plane Block with the Usage Bubivacaine and Dexamethasone for Post-Cesarean Section Analgesia: A Pilot Study

Authors

The Department of Anesthesia, Surgical ICU and Pain Management, Cairo University1, Anesthesia, Aljazeerah Hospital2, Reproductive Health & Family Planning Department, National Research Centre3, Dokki, P.O:12622, Egypt. Affiliation ID: 60014618, OB/Gyn, Aljazeerah Hospital4 and Obstetrics & Gynecological Diseases Department, Cairo University5, Egypt

10.21608/mjcu.2021.203334

Abstract

Abstract Background: Post-operative pain management following cesarean section (CS) can be done using abdominal field blocks like ilioinguinal-iliohypogastric (IL-IH) nerve block and transversus abdominis plane (TAP) block. The use of adjuvants such as dexamethasone can improve the sensory block's analgesic efficacy. Aim of Study: This study aimed from this pilot study to compare ilioinguinal-iliohypogastric nerve block and trans-versus abdominus plane block regarding post-CS pain relief. Patients and Methods: Twenty parturients undergoing CS were randomized to receive ultrasound-guided bilateral either IL-IH nerve block or TAP block. For both blocks, we used 20ml of 0.25% bupivacaine + 8mg dexamethasone for each side at the end of the operation. Patients' pain intensity was recorded at 0, 4, 8, 12, 24 hours postoperatively using the visual analog scale (VAS). The total amount of nalbuphine consumed over the following 24 hours was recorded. Results: Throughout the first 24 hours, the II-IH nerves block group had decreased pain scores (Visual Analog Score). In addition, the IL-IH group showed considerably less Nalbu-phine consumption. Conclusion: IL-IH nerve block provides more effective post-CS analgesia than TAP block.

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