Comparison between epidural technique and mid-axillary ultrasound-guided TAP block for postoperative analgesia of laparoscopic radical prostatectomy: a quasi-randomized clinical trial

Tejedor, Ana; Deiros, Carmen; García, Marta; Vendrell, Marina; Gómez, N Novo; Gómez, E; Masdeu, Josep

doi:10.1016/j.bjane.2021.03.021

Cited by 3 publications

(4 citation statements)

References 29 publications

(45 reference statements)

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“…They used tramadol as a second-line analgesic, and its requirement was significantly higher in the TAP group. It was consistent with studies by Tejedor A et al and Desai N et al [ 13 , 15 ]. In the present study, the mean heart rate was comparable during the surgery but found to be significantly higher during the postoperative period after the block, i.e., 30 min, 1 h, and 6 h in the TAP group.…”

Section: Discussionsupporting

confidence: 93%

“…In the present study, mean VAS scores were lower in the epidural group compared to the TAP group at 30 min, 1st, 6th, 12th, and 24th hours. This is consistent with the studies done by Torgeson M et al [ 11 ], Iyer SS et al [ 12 ], and Tejedor A et al [ 13 ]. A meta-analysis demonstrated that patients receiving epidural analgesia compared to TAP block had experienced less postoperative pain at rest and on movement, which is consistent with our study [ 14 , 15 ].…”

Section: Discussionsupporting

confidence: 93%

“…They used tramadol as a second-line analgesic, and its requirement was significantly higher in the TAP group. It was consistent with studies by Tejedor A et al and Desai N et al [13,15].…”

Section: Discussionsupporting

confidence: 93%

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Ultrasound-Guided Transversus Abdominis Plane Block Versus Single-Shot Epidural Block for Postoperative Analgesia in Patients Undergoing Inguinal Hernia Surgery

Yadav¹,

Doneria²,

Gupta³

et al. 2023

Cureus

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BackgroundTransversus abdominis plane (TAP) block and epidural analgesia are two frequently used regional anaesthesia techniques that attenuate postoperative pain after inguinal hernia repair. AimTo compare the analgesic efficacy between the single-shot epidural block and TAP block for postoperative analgesia in patients undergoing inguinal hernia repair surgery. MethodsForty patients of either gender undergoing elective inguinal hernia surgery of American Society of Anesthesiologists (ASA) class Ⅰ and Ⅱ were randomly allocated into two groups. Group E received a singleshot epidural with 20 ml of 0.25% bupivacaine. Group T received a TAP block with 20 ml of 0.25% bupivacaine under ultrasound guidance. Postoperative pain was evaluated by the visual analog scale (VAS). Rescue analgesia was given on VAS score ≥ 4 or on-demand in the postoperative period. The primary outcome included VAS score at 15 min, 1st h, 2nd h, 6th h, 12th h, and 24th h after the block. The secondary outcome was the analgesia duration, the total rescue analgesia dose required, and the patient satisfaction level. ResultsThe VAS pain scores were significantly lower in the epidural group compared to the TAP group at the 2nd, 6th, 12th, and 24th h postoperatively (p<0.0001). The mean duration of analgesia was significantly more in Group E (576.75±96.64 min) compared to Group T (276.75±105.56 min). The total analgesic consumption was seen significantly more in 24 h in Group T than in Group E. Patient satisfaction score was significantly higher with a mean value of 5.55±0.6 in group E compared to 4.75±0.72 in group T. ConclusionA single-shot epidural provides better postoperative pain control than a TAP block. The duration of the first analgesic demand was prolonged, with less analgesic consumption in the epidural group.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

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Ultrasound-Guided Transversus Abdominis Plane Block Versus Single-Shot Epidural Block for Postoperative Analgesia in Patients Undergoing Inguinal Hernia Surgery

Yadav¹,

Doneria²,

Gupta³

et al. 2023

Cureus

View full text Add to dashboard Cite

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“…(3) . Multimodal analgesia has been used in conjunction with TAP catheter-based techniques for abdominal surgery, caesarean section, abdominal hysterectomies (4,5) and prostatectomy, all of which are relatively recent. (6,7) For the anterior abdominal wall, this regional anaesthetic technique provide adequate and effective analgesia.…”

Section: Introductionmentioning

confidence: 99%

A Comparison between the Post-Operative Pain Relief in Total Hystrectomy with Epidural Bupivacaine and TAP Block

Hassan¹,

Anwar²,

Ahmed³

et al. 2022

PJMHS

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Background: Anesthesia is essential in the treatment of postoperative pain. Epidural analgesia and trans versus abdominis plane (TAP) block are possible options for analgesia for abdominal surgery. Objective: The main objective of the study is to evaluate and compare the efficacy of epidural bupivacaine and trans versus abdominus plane (TAP) block to provide better post-operative pain relief in total abdominal hysterectomy. Study design and place of study: This study was a prospective randomized control trial conducted at Department of anesthesiology, Liaquat National Hospital, Karachi for the period July 2017- July, 2018. Methods: Total 101 patients were enrolled thorough pre anesthetic assessment before surgery and an informed and written consent was obtained. Patients were allocated in group A and B after taking all ASA monitoring, participants in group A had an epidural catheter passed while Group B patients were given transversus abdominis plane block intra-operatively. A Visual Analogue Scale (VAS) score was used to assess anxiety levels. Statistical test like the chi-square test was used, with a p-value of 0.05 being considered statistically significant Results: Total 101 participants enrolled, the average age was 45.48 ± 1.06 (Age Rang 30-60years). The mean age of patient in Epidural Group was 47.02± 7.62 as ccompared with TAP Block Group was 43.56± 13.35 with p-value 0.007. Majority of the patients has ASA II, 39(61.9%) and 24(38.1%) respectively with p-value 0.240. Pain score at 10 minutes in epidural and TAP Block was reported as 2.16±2.1o and 3.0±2.94 (mild pain) with p-value 0.000 while after 6 hours, the VAS pain score showed mild pain in epidural group as 1.96±1.67 but moderate to severe pain was observed in TAP block patients as 4.28±1.56 with insignificant p-value 0.162. Study findings will help care taker staff for Post-Operative Pain Relief after the surgery , the benefits of single shot TAP block could be of advantage in situations where epidural analgesia is contraindicated or not desired. Conclusion: The study concluded better pain relief in patients with epidural bupivacaine when compared with TAP block. Keywords: TAP Transversus Abdominus Plane ASA Physical Status Score VAS Visual Analogue Scale Epidural block, postoperative pain relief, Total Abdominal Hysterectomy, Transversus Abdominis Plane Block

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Comparison of Dexamethasone Versus Methylprednisolone With Bupivacaine in Transversus Abdominis Plane Block for Attenuation of Chronic Postoperative Abdominal Pain

Modak,

Paul,

Chakole

et al. 2023

Cureus

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Comparison between epidural technique and mid-axillary ultrasound-guided TAP block for postoperative analgesia of laparoscopic radical prostatectomy: a quasi-randomized clinical trial

Cited by 3 publications

References 29 publications

Ultrasound-Guided Transversus Abdominis Plane Block Versus Single-Shot Epidural Block for Postoperative Analgesia in Patients Undergoing Inguinal Hernia Surgery

Ultrasound-Guided Transversus Abdominis Plane Block Versus Single-Shot Epidural Block for Postoperative Analgesia in Patients Undergoing Inguinal Hernia Surgery

A Comparison between the Post-Operative Pain Relief in Total Hystrectomy with Epidural Bupivacaine and TAP Block

Comparison of Dexamethasone Versus Methylprednisolone With Bupivacaine in Transversus Abdominis Plane Block for Attenuation of Chronic Postoperative Abdominal Pain

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