Evidence map›Paper›PMID 36847318›Full record

ArticleTurkish journal of anaesthesiology and reanimation2023

Transversus Abdominis Plane Block Versus Rectus Sheath Block for Postoperative Pain After Caesarean Delivery: A Randomised Controlled Trial.

Hadi Ufuk Yörükoğlu, Tülay Şahin, Ayşe Öge Kula

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Turkish journal of anaesthesiology and reanimation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06342076 (Comparison of the Efficacy of Subcostal Transversus Abdominis Plane Block and Rectus Sheath Block for Postoperative Analgesia in Major Open Gynaecological Cancer Surgery), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06342076 nacompletednot on this mapstarted 2024, after this paper: background citation

Comparison of the Efficacy of Subcostal Transversus Abdominis Plane Block and Rectus Sheath Block for Postoperative Analgesia in Major Open Gynaecological Cancer Surgery: a Prospective Randomised Study

TypeinterventionalSponsorBakirkoy Dr. Sadi Konuk Research and Training HospitalRan2024 to 2024Enrolled50ConditionsPostoperative Pain, Postoperative Complications, Analgesia, Regional Anesthesia MorbidityArmsPatients undergoing subcostal transversus abdominis plane block and posterior transversus abdominis plane block, Patients undergoing rectus sheat block and posterior transversus abdominis plane block
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Hadi Ufuk YörükoğluDepartment of Anaesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
Tülay ŞahinDepartment of Anaesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
Ayşe Öge KulaDepartment of Anaesthesiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Kocaeli Üniversitesi · TRMedical College of Wisconsin · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePostoperative analgesia in caesarean deliveries is becoming increasingly important, since early bonding between mother and infant can be established with effective postoperative analgesia while preventing the unpleasant effects of pain. Additionally, inadequate postoperative analgesia is associated with chronic pain and postpartum depression. The primary objective of this study was to compare the analgesic effects of transversus abdominis plane block and rectus sheath block in patients undergoing elective caesarean delivery.

methodsA total of 90 parturients with American Society of Anesthesia status I-II, aged 18-45 years, at >37 gestational weeks, and scheduled for elective caesarean delivery were included in the study. All patients received spinal anaesthesia. Parturients were randomised into 3 groups. Bilateral ultrasound-guided transversus abdominis plane block was performed on the transversus abdominis plane group, bilateral ultrasoundguided rectus sheath block on the rectus sheath group, and no block on the control group. All patients were given intravenous morphine through a patient-controlled analgesia device. A pain nurse, blinded to the study, recorded the cumulative morphine consumption and pain scores during resting and coughing using a numerical rating scale at postoperative hours 1, 6, 12, and 24.

resultsNumerical rating scale values recorded during rest and coughing were lower in the transversus abdominis plane group at postoperative hours 2, 3, 6, 12, and 24 (P < .05). Morphine consumption was lower in the transversus abdominis plane group at postoperative hours 1, 2, 3, 6, 12, and 24 (P < .05).

conclusionTransversus abdominis plane block provides effective postoperative analgesia in parturients. However, rectus sheath block provides inadequate postoperative analgesia in parturients who undergo caesarean delivery.

Identifiers

PMID36847318
PMCPMC10081015
OpenAlexW4321783537

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.