Combined subcostal and posterior transversus abdominis plane block for postoperative pain relief after abdominoplasty : a randomized clinical trial
Joint Authors
al-Sayyid, Haytham
Fadl, Abd al-Shahid Ibrahim
Awad, M. Nasr
al-Falaki, M.
Source
Journal of the Bahrain Medical Society
Issue
Vol. 32, Issue 4 (31 Dec. 2020), pp.21-28, 8 p.
Publisher
Publication Date
2020-12-31
Country of Publication
Bahrain
No. of Pages
8
Main Subjects
Abstract EN
Background: Abdominoplasty is a common esthetic surgery.
For adequate pain management during the postoperative period, transversus abdominis plane block (TAPB) is a therapeutic complement for analgesia for postoperative pain following abdominal surgery.
Aim: To compare the outcomes of TAPB and systemic opioids in patients undergoing abdominoplasty.
Methods: Fifty-eight patients undergoing abdominoplasty were randomly assigned to two groups: Combined subcostal and posterior TAPB group (BG, n=29) and Control group (CG, n=29).
The standard postoperative analgesic regimen for both groups consisted of IV Paracetamol 1 g every 6 h.
The visual analog scale (VAS) scores for pain were recorded postoperatively, and once the patient had a VAS ≥4, IV pethidine was administered.
The primary outcome was pethidine consumption in the first 72 h postoperatively; the secondary outcomes included VAS scores at rest and during movement in the first 72 h postoperatively, time to first ambulation, and time to first incentive spirometer at 900 mL/min.
Results: Pethidine consumption in the first 72 h was 208.62±85.64 in the CG group and 20.69±25.06 in BG (p<0.05).
VAS was lower in BG during the first 72 h both at rest and during movement (p<0.05).
Time to first ambulation was 12.41±5.04 h in the CG group and 4.62±1.08 h in BG (p<0.05), time to first incentive spirometer at 900 mL/min was 11.45±5.05 h in CG and 4.27±1.09 h in BG (p<0.05).
Conclusion: Combined subcostal and posterior TAPB offers a longer postoperative analgesic effect and reduced postoperative opioid requirements with fewer postoperative complications.
American Psychological Association (APA)
al-Sayyid, Haytham& Fadl, Abd al-Shahid Ibrahim& al-Falaki, M.& Awad, M. Nasr. 2020. Combined subcostal and posterior transversus abdominis plane block for postoperative pain relief after abdominoplasty : a randomized clinical trial. Journal of the Bahrain Medical Society،Vol. 32, no. 4, pp.21-28.
https://search.emarefa.net/detail/BIM-1430686
Modern Language Association (MLA)
al-Sayyid, Haytham…[et al.]. Combined subcostal and posterior transversus abdominis plane block for postoperative pain relief after abdominoplasty : a randomized clinical trial. Journal of the Bahrain Medical Society Vol. 32, no. 4 (2020), pp.21-28.
https://search.emarefa.net/detail/BIM-1430686
American Medical Association (AMA)
al-Sayyid, Haytham& Fadl, Abd al-Shahid Ibrahim& al-Falaki, M.& Awad, M. Nasr. Combined subcostal and posterior transversus abdominis plane block for postoperative pain relief after abdominoplasty : a randomized clinical trial. Journal of the Bahrain Medical Society. 2020. Vol. 32, no. 4, pp.21-28.
https://search.emarefa.net/detail/BIM-1430686
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 27-28
Record ID
BIM-1430686