Transversus Abdominis Plane Block versus Wound Infiltration with Conventional Local Anesthetics in Adult Patients Underwent Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials
المؤلفون المشاركون
Pan, Ling-hui
Cai, Qiang
Gao, Mei-ling
Chen, Guan-yu
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-18، 18ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-03-23
دولة النشر
مصر
عدد الصفحات
18
التخصصات الرئيسية
الملخص EN
Background.
How to effectively control the postoperative pain of patients is extremely important to clinicians.
Transversus abdominis plane (TAP) block is a novel analgesic method reported to greatly decrease postoperative pain.
However, in many areas, there still exists a phenomenon of surgeons using wound infiltration (WI) with conventional local anesthetics (not liposome anesthetics) as the main means to decrease postoperative pain because of traditional wisdom or convenience.
Here, we compared the analgesic effectiveness of the two different methods to determine which method is more suitable for adult patients.
Materials and methods.
A systematic review and meta-analysis of randomized controlled trials (RCTs) comparing TAP block and WI without liposome anesthetics in adult patients were performed.
Frequently used databases were extensively searched.
The main outcomes were postoperative pain scores in different situations (at rest or during movement) and the time until the first use of rescue analgesics.
The secondary outcomes were postoperative nausea and vomiting (PONV) incidence and patient satisfaction scores.
Results.
Fifteen studies with 983 participants met the inclusion criteria and were included in the present study.
The heterogeneity in the final analysis regarding the pain score was low to moderate.
The major results of the sensitivity analysis were stable.
WI had the same analgesic effect as TAP block only at the one-hour postoperative time point (mean difference=−0.32, 95% confidence interval (-0.87, 0.24), P=0.26) and was associated with a shorter time until the first rescue analgesic and poorer patient satisfaction.
Conclusion.
TAP block results in a more effective and steady analgesic effect than WI with conventional local anesthetics in adult patients from the early postoperative period and obtains higher patient satisfaction.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Cai, Qiang& Gao, Mei-ling& Chen, Guan-yu& Pan, Ling-hui. 2020. Transversus Abdominis Plane Block versus Wound Infiltration with Conventional Local Anesthetics in Adult Patients Underwent Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials. BioMed Research International،Vol. 2020, no. 2020, pp.1-18.
https://search.emarefa.net/detail/BIM-1137855
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Cai, Qiang…[et al.]. Transversus Abdominis Plane Block versus Wound Infiltration with Conventional Local Anesthetics in Adult Patients Underwent Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials. BioMed Research International No. 2020 (2020), pp.1-18.
https://search.emarefa.net/detail/BIM-1137855
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Cai, Qiang& Gao, Mei-ling& Chen, Guan-yu& Pan, Ling-hui. Transversus Abdominis Plane Block versus Wound Infiltration with Conventional Local Anesthetics in Adult Patients Underwent Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-18.
https://search.emarefa.net/detail/BIM-1137855
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1137855
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر