Postoperative analgesic efficiency of pre-emptive ultrasoundguided transversus abdominis plane block in patients undergoing laparoscopic colectomy
Author
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 6, Issue 1 (31 Jan. 2013), pp.69-74, 6 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2013-01-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract EN
Background The transversus abdominis plane block is a nerve block that provides analgesia to the anterior abdominal wall.
The aim of this study was to evaluate the analgesic efficacy of a pre-emptive ultrasound-guided transversus abdominis plane block (US-TAP block) in patients undergoing laparoscopic colectomy through a small lower abdominal skin incision.
Methods Forty patients undergoing laparoscopic colectomy surgery were randomized to undergo standard care such as patient-controlled analgesia (control group) or to receive an additional pre-emptive US-TAP block with standard care (TAP group).
A bilateral US-TAP block was performed after induction of general anaesthesia using 0.25% levobupivacaine 20 ml on each side.
Postoperative demand of rescue analgesics in the postanaesthesia care unit (PACU) and ward were recorded.
Each patient was assessed postoperatively by a blinded observer in PACU and at 2, 12, 24 and 48 h postoperatively to investigate pain at rest and on movement, drowsiness, nausea, itching and shivering.
Results The US-TAP block reduced the pain score compared with standard care in the PACU (4.1± 0.9 vs.
8.6 ±0.3) and at 24 and 48 h postoperatively (1.3 ± 0.4 vs.
2.7 ± 0.4, 1.3 ± 0.6 vs.
2.6 ± 0.2, respectively).
Morphine requirements in PACU in the TAP group versus the control group were reduced (9.3± 3.0 vs.
15.2 ± 2.1 mg, Po0.05).
In the ward, morphine requirements were reduced at 24 and 48 h (11.8± 3.4 vs.
16.6 ± 3.3 mg, 9.5 ± 2.3 vs.
14.4± 2.0 mg, respectively, Po0.05).
Conclusion The US-TAP block with standard care provides more effective analgesia after a laparoscopic colectomy surgery than standard patient-controlled analgesia only, reduces opioid requirements and side effects, promotes early return of bowel activity, promotes early hospital discharge and increases patient satisfaction.
American Psychological Association (APA)
Isa, Dalya Isam. 2013. Postoperative analgesic efficiency of pre-emptive ultrasoundguided transversus abdominis plane block in patients undergoing laparoscopic colectomy. Ain Shams Journal of Anesthesiology،Vol. 6, no. 1, pp.69-74.
https://search.emarefa.net/detail/BIM-651614
Modern Language Association (MLA)
Isa, Dalya Isam. Postoperative analgesic efficiency of pre-emptive ultrasoundguided transversus abdominis plane block in patients undergoing laparoscopic colectomy. Ain Shams Journal of Anesthesiology Vol. 6, no. 1 (Jan. 2013), pp.69-74.
https://search.emarefa.net/detail/BIM-651614
American Medical Association (AMA)
Isa, Dalya Isam. Postoperative analgesic efficiency of pre-emptive ultrasoundguided transversus abdominis plane block in patients undergoing laparoscopic colectomy. Ain Shams Journal of Anesthesiology. 2013. Vol. 6, no. 1, pp.69-74.
https://search.emarefa.net/detail/BIM-651614
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 73-74
Record ID
BIM-651614