Comparative study between Erector spinae plane block and Transversus abdominis plane block for postoperative analgesia in lower segment caesarean deliveries - A randomised control study

Caesareandelivery is one of the most commonly performed surgical procedures. Thepostoperative pain associated with it causes significant reduction in thefunctional quality of the postpartum mother especially on the day of theprocedure. The optimum form of postoperative analgesia is not known, but manyprocedures are carried out under spinal anaesthesia and patients typicallyreceive spinal opioids, systemic opioids as components of multimodal analgesiain the postoperative period. However, long acting opioids, whether given viathe spinal or systemic route, are frequently associated with adverse effectssuch as nausea, pruritus, sedation and occasionally respiratory depression.Thus knowledge about the alternative (non-opioid) analgesia especially regionaltechniques is important.

The regional techniques like epidural and TAP blockshave been found to provide effective postoperative analgesia in cesareandeliveries. ESP block is a novel technique which has found its applicability inmany truncal and hip surgeries. Also, it is believed that this technique istechnically less demanding as compared to other techniques described above