Effectiveness of ultrasound-guided transversus abdominis plane block for intraoperative and postoperative analgesia in kidney transplantation
Joint Authors
Abd al-Salam, Khalid M. A.
Sultan, Sharif S.
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 8, Issue 1 (31 Mar. 2015), pp.140-143, 4 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2015-03-31
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Topics
Abstract EN
Background The transversus abdominis plane (TAP) exists between the internal oblique and transversus abdominis muscles, and encompasses an intersected plexus of nerves.
The TAP block has been the subject of multiple clinical trials to determine its analgesic effi cacy.
Patients and methods A total of 60 patients were randomized into one of two groups: TAP block group (group 1) or no-TAP block group (group 2).
All patients underwent a standardized anesthetic technique.
The TAP block group received preincisional ultrasound-guided TAP block on the side of surgery with a 20-ml volume of 0.5% of bupivacaine, and the no-TAP group received equivalent amounts of saline.
A standardized postoperative analgesic regimen composed of intravenous paracetamol and a morphine patientcontrolled analgesia (PCA).
The amounts of intraoperative fentanyl and post-anesthesia care unit (PACU) morphine and PCA-administered morphine, pain scores, as well as number of patients experienced postoperative nausea and vomiting in the ward at 6 and 24 h were recorded.
Results TAP block group patients received a signifi cantly lower cumulative intraoperative fentanyl, signifi cantly less boluses of morphine in postanesthesia care unit, and signifi cantly lower cumulative 24-h postoperative morphine dosage than the no-TAP block patients.
Pain visual analog scale scores were signifi cantly lower at both 6 and 24 h postoperatively in the TAP group when compared with the no-TAP group.
There were no complications related to the TAP block procedures.
No signs or symptoms of local anesthetic systemic toxicity were detected.
Conclusion On the basis of our current results, preincisional ultrasound-guided TAP blocks confer analgesic benefi t when added to the multimodel analgesia regimen during and after kidney transplantation.
American Psychological Association (APA)
Abd al-Salam, Khalid M. A.& Sultan, Sharif S.. 2015. Effectiveness of ultrasound-guided transversus abdominis plane block for intraoperative and postoperative analgesia in kidney transplantation. Ain Shams Journal of Anesthesiology،Vol. 8, no. 1, pp.140-143.
https://search.emarefa.net/detail/BIM-650991
Modern Language Association (MLA)
Abd al-Salam, Khalid M. A.& Sultan, Sharif S.. Effectiveness of ultrasound-guided transversus abdominis plane block for intraoperative and postoperative analgesia in kidney transplantation. Ain Shams Journal of Anesthesiology Vol. 8, no. 1 (Jan. / Mar. 2015), pp.140-143.
https://search.emarefa.net/detail/BIM-650991
American Medical Association (AMA)
Abd al-Salam, Khalid M. A.& Sultan, Sharif S.. Effectiveness of ultrasound-guided transversus abdominis plane block for intraoperative and postoperative analgesia in kidney transplantation. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 1, pp.140-143.
https://search.emarefa.net/detail/BIM-650991
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 143
Record ID
BIM-650991