• Asia Oceania J Obstet Gynaecol · Jun 1993

    Randomized Controlled Trial Comparative Study Clinical Trial

    Abdominal nerve blockade for postoperative analgesia after caesarean section.

    • P Kuppuvelumani, H Jaradi, and A Delilkan.
    • Department of Obstetrics and Gynaecology, University of Malaya, Kuala Lumpur.
    • Asia Oceania J Obstet Gynaecol. 1993 Jun 1;19(2):165-9.

    AbstractA prospective study of blocking T10-L1 with local anaesthetic, bilaterally in 30 patients undergoing caesarean section under general anaesthesia has been shown to provide effective postoperative analgesia thus requiring significantly less narcotics (mean 66.6 mg of pethidine) compared to the 30 patients in the control group (mean 163 mg of pethidine). A cocktail of 0.5% of bupivacaine with adrenaline and xylocaine 1% produced analgesia for the duration ranging from 8 to 12 hours (mean 8.4 hours). Patients with abdominal field block were awake, alert and comfortable during the immediate postoperative period. They were pain-free sufficiently to put the babies to the breast early and frequently.

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