Analgesic efficacy of the ultrasound-guided blockade of the transversus abdominis plane – a systematic review

Ripollés, Javier; Mezquita, Sandra Marmaña; Abad, Alfredo; Calvo, J.

doi:10.1016/j.bjane.2013.10.016

Cited by 26 publications

(29 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bjerregaard et al reported that the TAP block is an effective method of analgesia following abdominal surgery, as part of multimodal analgesic regimens. The authors found lower pain scores at rest and during mobilization (coughing) at 4,8,12,20,26, and 36 hours after the operation. Additionally, the cumulative consumption of intravenous morphine was lower in the first 48 hours postoperatively in patients with abdominal transverse plane block [23].…”

Section: Discussionmentioning

confidence: 87%

“…[19][20][21][22]. McDonnell et al, in a randomized doubleblind study, evaluated the analgesic efficacy of transverse abdominal plane block in patients after abdominal surgery.…”

Section: Discussionmentioning

confidence: 99%

“…There is a considerable debate about the best approach and coverage of TAP for each type of surgery [20,21], and the execution of TAP block in post-incisional ventral hernia repair is very contradictory. Some authors believe that posterior TAP is best for lower abdominal surgeries, the subcostal TAP block is ideal for upper abdominal procedures, and the combined technique provides the greatest analgesic coverage [26].…”

Section: Discussionmentioning

confidence: 99%

“…Some authors believe that posterior TAP is best for lower abdominal surgeries, the subcostal TAP block is ideal for upper abdominal procedures, and the combined technique provides the greatest analgesic coverage [26]. A systematic review has shown that there was no evidence for analgesic efficacy of transverse abdominis plane block in procedures with midlaparotomy [20].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Postoperative analgesic efficiency of transversus abdominis plane block after ventral hernia repair: a prospective, randomized, controlled clinical trial

Chesov

Belîi

2017

Rom J Anaesth Intensive Care

View full text Add to dashboard Cite

Background and aims: Effective postoperative analgesia is a key element in reducing postoperative morbidity, accelerating recovery and avoiding chronic postoperative pain.The aim of this study was to evaluate the effectiveness of ultrasound-guided Transversus Abdominis Plane (TAP) block, performed before surgical incision, in providing postoperative analgesia for patients undergoing open ventral hernia repair under general anaesthesia.Methods: Seventy elective patients scheduled for open ventral hernia repair surgery under general anaesthesia were divided randomly into two equal groups: Group I received bilateral TAP block performed before surgical incision (n = 35); Group II received systemic postoperative analgesia with parenteral opioid (morphine) alone (n = 35). Postoperatively pain scores at rest and with movement, total morphine consumption and opioid related side effects were recorded.Results: Postoperative pain scores at rest and mobilization/cough were significantly higher in patients without TAP block (p < 0.05). Mean intraoperative fentanyl consumption was comparable between the two groups: 0.75 ± 0.31 mg in group I (TAP) and 0.86 ± 0.29 mg in group II (MO), p = 0.1299. Patients undergoing preincisional TAP block had reduced morphine requirements during the first 24 hours after surgery, compared to patients from group II, without TAP block (p = 0.0001). There was no difference in the incidence of opioid related side effects (nausea, vomiting) in the both groups during the first 24 postoperative hours.Conclusion: The use of preincisional ultrasound guided TAP block reduced the pain scores at rest and with movement/cough, opioid consumption and opioid-related side effects after ventral hernia repair when compared with opioid-only analgesia.

show abstract

Section: Discussionmentioning

confidence: 87%

“…[19][20][21][22]. McDonnell et al, in a randomized doubleblind study, evaluated the analgesic efficacy of transverse abdominal plane block in patients after abdominal surgery.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Postoperative analgesic efficiency of transversus abdominis plane block after ventral hernia repair: a prospective, randomized, controlled clinical trial

Chesov

Belîi

2017

Rom J Anaesth Intensive Care

View full text Add to dashboard Cite

show abstract

“…Because of the difficulty of anatomical references in obese patients, ultrasound guided (USG) TAP blocks have been reevaluated [10]. Sinha et al [11] demonstrated improvement of three different variables: lower pain scores in VAS, less need for opioids (Tramadol) therefore allowing for less sedation and early ambulation.…”

Section: Transverses Abdominis Plane Block (Tap) Blockmentioning

confidence: 99%

Pain Management in Weight Loss Surgery: Aiming for Multimodal Approach

Gamboa¹

2016

AOWMC

View full text Add to dashboard Cite

Weight loss surgery (WLS) is an effective group of procedures with a low rate of complications, preventing or treating several cardiovascular co morbidities associated with morbid obesity. Pain management in the preoperative needs special consideration in this population because of different aspects, specially the theoretical need for opioid avoidance, generally used in the postoperative of major surgeries. This literature review assesses the available information on analgesic strategies for WLS, with a special approach on multimodal settings and possible alternatives. Well-controlled studies are needed to determine the level of recommendation for individual therapies and multimodal regimens.

show abstract

Impact of analgesic techniques on early quality of recovery after prostatectomy: A 3‐arm, randomized trial

Beilstein

Huber

Furrer

et al. 2022

European Journal of Pain

View full text Add to dashboard Cite

Background Prostatectomy is associated with relevant acute postoperative pain. Optimal analgesic techniques to minimize pain and enhance recovery are still under investigation. We aimed to compare the effect of three different analgesic techniques on quality of recovery. Methods This investigator‐initiated, prospective, randomized, three‐arm, parallel‐group, active‐controlled, interventional superiority trial was performed in a Swiss teaching hospital from 2018 to 2021. Consecutive patients undergoing open or robotic‐assisted radical prostatectomy were randomized to spinal anaesthesia (SSS, bupivacaine 0.5% + fentanyl), bilateral transversus abdominis plane block (TAP, ropivacaine 0.375% + clonidine) or systemic administration of lidocaine (SA, lidocaine 1%) in addition to general anaesthesia. Primary outcome was quality of recovery 15 (QoR‐15) score on postoperative day one compared to baseline. Secondary outcomes were QoR‐15 at discharge, postoperative nausea and vomiting, pain scores, return of gastrointestinal function and use of rescue analgesia. Results From 133 patients, 40 received spinal anaesthesia, 45 TAP block and 48 systemic analgesia. QoR‐15 scores did not differ on day 1 (p = 0.301) or at discharge (p = 0.309) when compared to baseline. QoR‐15 changes were similar in all groups. At discharge, median QoR‐15 scores were considered as good (>122) in all groups: SSS 134 [IQR 128–138]; TAP 129 [IQR 122–136] and SA 128 [IQR 123–136]. There were no significant differences in the other secondary outcomes. Conclusions Quality of recovery on postoperative day one compared to baseline did not differ if spinal anaesthesia, TAP block or systemic administration of lidocaine was added to general anaesthesia. Significance Optimal analgesic techniques to enhance recovery after prostatectomy are still under investigation. In this 3‐arm randomized controlled trial, addition of spinal anaesthesia or transversus abdominis plane block to general anaesthesia did not improve quality of recovery after radical prostatectomy compared to less invasive intravenous lidocaine infusion (standard of care/control group). Quality of recovery at the time of discharge was considered as good in all three groups.

show abstract

Analgesic efficacy of the ultrasound-guided blockade of the transversus abdominis plane – a systematic review

Cited by 26 publications

References 56 publications

Postoperative analgesic efficiency of transversus abdominis plane block after ventral hernia repair: a prospective, randomized, controlled clinical trial

Postoperative analgesic efficiency of transversus abdominis plane block after ventral hernia repair: a prospective, randomized, controlled clinical trial

Pain Management in Weight Loss Surgery: Aiming for Multimodal Approach

Impact of analgesic techniques on early quality of recovery after prostatectomy: A 3‐arm, randomized trial

Contact Info

Product

Resources

About