Transversus Abdominis Plane Catheter Bolus Analgesia after Major Abdominal Surgery
Joint Authors
Bjerregaard, Nils
Rasmussen, Bodil Steen
Nikolajsen, Lone
Bendtsen, Thomas Fichtner
Source
Anesthesiology Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-16
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Purpose.
Transversus abdominis plane (TAP) blocks have been shown to reduce pain and opioid requirements after abdominal surgery.
The aim of the present case series was to demonstrate the use of TAP catheter injections of bupivacaine after major abdominal surgery.
Methods.
Fifteen patients scheduled for open colonic resection surgery were included.
After induction of anesthesia, bilateral TAP catheters were placed, and all patients received a bolus dose of 20 mL bupivacaine 2.5 mg/mL with epinephrine 5 μg/mL through each catheter.
Additional bolus doses were injected bilaterally 12, 24, and 36 hrs after the first injections.
Supplemental pain treatment consisted of paracetamol, ibuprofen, and gabapentin.
Intravenous morphine was used as rescue analgesic.
Postoperative pain was rated on a numeric rating scale (NRS, 0–10) at regular predefined intervals after surgery, and consumption of intravenous morphine was recorded.
Results.
The TAP catheters were placed without any technical difficulties.
NRS scores were ≤3 at rest and ≤5 during cough at 4, 8, 12, 18, 24, and 36 hrs after surgery.
Cumulative consumption of intravenous morphine was 28 (23–48) mg (median, IQR) within the first 48 postoperative hours.
Conclusion.
TAP catheter bolus injections can be used to prolong analgesia after major abdominal surgery.
American Psychological Association (APA)
Bjerregaard, Nils& Nikolajsen, Lone& Bendtsen, Thomas Fichtner& Rasmussen, Bodil Steen. 2012. Transversus Abdominis Plane Catheter Bolus Analgesia after Major Abdominal Surgery. Anesthesiology Research and Practice،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-483819
Modern Language Association (MLA)
Bjerregaard, Nils…[et al.]. Transversus Abdominis Plane Catheter Bolus Analgesia after Major Abdominal Surgery. Anesthesiology Research and Practice No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-483819
American Medical Association (AMA)
Bjerregaard, Nils& Nikolajsen, Lone& Bendtsen, Thomas Fichtner& Rasmussen, Bodil Steen. Transversus Abdominis Plane Catheter Bolus Analgesia after Major Abdominal Surgery. Anesthesiology Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-483819
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-483819