Postoperative Analgesia After Caesarean Section Under ALR: TAP Block Versus Catheter Scar Infiltration
Postoperative Analgesia After Caesarean Section Under ALR: TAP Block Versus Catheter Scar Infiltration
The purpose of the multimodal postoperative analgesia is to improve the quality of analgesia
 and reduce side effects of morphine (nausea, vomiting, sedation, urinary retention,
 respiratory depression ...). In the case of caesarean sections, the quality of analgesia
 allows one hand to improve the mother-child relationship and the quality of breastfeeding,
 the other to reduce the risk of postpartum depression and chronic pain . Two methods of
 administration of local anesthetics have been proven effective for analgesia of the abdominal
 wall under umbilical: The Transversus Abdominal Block Plan (TAP Block) and infiltration of
 the scar continues operating. The TAP block was performed under ultrasound guidance by the
 anesthesiologist after the intervention in a single injection of local anesthetic in the
 abdominal wall and has a period of limited and variable. The infiltration continues catheter
 is placed by the surgeon before closing the wound and allows the infusion of local
 anesthetics for 48 hours.

 The purpose of this study was to compare morphine consumption between both techniques, and
 the quality of analgesia and side effects of morphine
Inclusion Criteria:

 -  Woman whose age is 18 years

 -  Encircled Woman requiring a scheduled(programmed) caesarian, under spinal anesthesia
 or died combined(organized) spinal anesthesia

 -  Woman ASA I and II

 -  Term = 37 LIMITED COMPANIES

 -  Woman primipare or not

 -  Woman having signed an informed consent writes and making a commitment to respect the
 instructions of the protocol

 Exclusion Criteria:

 -  Minor Woman

 -  Woman presenting a contraindication to the anesthesia périmédullaire: constitutional
 or acquired disorders(confusions) of the haemostasis, the allergy in the local
 anesthetics, the infectious context (hypertherm > 38.5 ° C)

 -  Woman presenting an intolerance or an allergy known about the morphine in the
 paracetamol or in AIN

 -  The surgical histories of laparotomy

 -  The morbid obesity BMI > 35

 -  Dysgravidies

 -  Woman not being affiliated to the national insurance scheme

 -  Woman under legal protection

 -  Woman not having signed an informed consent