الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The cesarean section is the most commonly performed surgery in gynecology and obstetrics in the world, which is a steadily increasing trend. Unsuccessfully conducted analgesia after cesarean section results in considerable suffering in newly delivered mothers, who consequently may be less willing to feed and care for the new-born. To achieve effective analgesia, a multimodal strategy should be used with simultaneously administered painkillers from all three levels of the analgesic ladder in conjunction with specialized peripheral nerve block techniques.
The aim of this study was to evaluate the effectiveness of dexamethasone added to ultrasound guided Transversalis Fascia Plane Block in postoperative analgesia and opioid consumption after cesarean section.
This study was carried out on 60 patients ASA II admitted to Alexandria main university Hospital and scheduled for elective cesarean section. The patients were randomly assigned to one of two equal groups (30 in each group), via the sealed envelope technique. group A: received spinal anaesthesia and US-guided TFPB while group B received spinal anaesthesia and US-guided TFPB plus 4mg dexamethasone
All patients were informed with the anaesthetic techniques and trained to use the visual analogue scale (VAS).
On arrival to the operative theatre a peripheral venous catheter was inserted in all patients, multichannel monitor was attached to the patient to display ECG (lead II), heart rate (beats/min), non-invasive mean arterial blood pressure (mmHg) and oxygen saturation (SpO2).