Effectiveness of ultrasound-guided transversus abdominis plane block for intraoperative and postoperative analgesia in kidney transplantation

Abdelsalam, Khaled M.A.; Sultan, Sherif S

doi:10.4103/1687-7934.153956

Cited by 6 publications

(28 citation statements)

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“…Epidural continuous approach techniques are associated with better pain relief compared to single injection nerve blocks. However, despite a reliable pain relief, it has several side effects such as paresthesia, hypotension, urinary disturbance, and complications such as inadvertent intra-thecal migration of the epidural catheter or epidural hematoma ( 10 ). With an increase in the number of living kidney donations, it is important to optimize comfort and reliable but safe postoperative analgesia for the donor.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Three-Quadrant Transversus Abdominis Plane Block and Continuous Epidural Block for Postoperative Analgesia After Transperitoneal Laparoscopic Nephrectomy

et al. 2018

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BackgroundPostoperative pain management is important for the early recovery of the living donor patient. Patient-controlled opioid analgesia, epidural analgesia, or a combination of both is the preferred pain management after abdominal surgery although these approaches have serious side effects. The transversus abdominis plane (TAP) block has been increasingly used for postoperative pain management and the addition of dexamethasone to local anesthetic can prolong the duration of action.ObjectivesThis study evaluated the efficacy of ultrasound-guided three-quadrant TAP block analgesia with the addition of dexamethasone, compared to the continuous epidural analgesia in postoperative cumulative opioid consumption and pain scale in the first 24 hours following transperitoneal laparoscopic living donor nephrectomy.MethodsA prospective randomized control study was conducted on 50 patients with ASA I-II, 18 - 65 years old, BMI 18 - 30, and undergoing transperitoneal laparoscopic donor nephrectomy under general anesthesia. The patients were randomly assigned into either a three-quadrant TAP block group (n = 25) with 20 mL of 0.25% bupivacaine plus dexamethasone 8 mg or a continuous epidural group (n = 25) using 0.125% bupivacaine postoperatively. The morphine consumption and the numerical rating scale (NRS) at rest and movement were evaluated at 2, 6, 12, and 24 hours postoperatively. The postoperative first-time mobilization and duration of urinary catheter usage were recorded.ResultsPatients demographic characteristics were similar in the two groups. During 24 hours after the surgery, cumulative morphine consumption (P = 0.232), the NRS at rest and movement (P > 0.05), and the first-time mobilization (P = 0.075) were not significantly different between the groups, except that the NRS during movement at 12 hours was significantly lower in the TAP block group (P = 0.004). The duration of urinary catheterization was significantly longer as a side effect in the continuous epidural group (P < 0.001).ConclusionsThe three-quadrant TAP block with the addition of dexamethasone showed comparable analgesic effects as the continuous epidural analgesia in cumulative opioid consumption and pain scale in the first 24 hours following transperitoneal laparoscopic donor nephrectomy.

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Section: Discussionmentioning

confidence: 99%

“…TAP block and opioids can control the parietal pain, whereas steroid controls the visceral pain ( 10 ). Our primary outcome was opioid consumption during the first 24 hours after surgery.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Three-Quadrant Transversus Abdominis Plane Block and Continuous Epidural Block for Postoperative Analgesia After Transperitoneal Laparoscopic Nephrectomy

et al. 2018

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“…The reasons for exclusion are different outcomes (5), comparison of different anaesthetics (3), and disagreeing with the inclusion criteria (n = 2). Finally, 17 studies were included in the meta-analysis: 15 RCTs and 2 retrospective controlled trials [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21], published between 2012 and 2020. The literature screening process is shown in Figure 1.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

The Effect of Transversus Abdominis Plane Block in Kidney Transplantation: A Systematic Review and Meta-Analysis

Zheng

Yang

et al. 2023

Urol Int

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Introduction: The aim of the study was to evaluate the effect of transversus abdominal (TAP) block for postoperative analgesia after renal transplantation. Methods: We searched PubMed, Embase, the Cochrane Library, and the Chinese Biomedical Literature Database for relevant studies. The related trials that met the inclusion criteria were analysed using RevMan 5.4 software. Results: We found 15 randomized controlled trials and two retrospective studies that, on meta-analysis, showed that TAP block group had significantly lower requirement of opioid consumption (MD −11.89, 95% CI −17.13∼−6.65) at 24 h for pain mitigation and pain intensity VAS at rest at 6h (MD −1.13, 95% CI −1.76∼−0.49), 12 h (MD −0.83, 95% CI −1.30∼−0.36) and 24 h (MD −0.47, 95% CI −0.75∼−0.20). Also, postoperative nausea and vomiting were not statistically significant (RR 1.00, 95% CI 0.78∼1.27). Conclusion: TAP block appears to significantly reduce renal transplantation pain and the amount of opioid use on the first postoperative day after renal transplantation.

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“…Studies have confirmed that ultrasound-guided (USG) transversus abdominis plane (TAP) block is an effective method of analgesia for upper abdominal surgeries, 3 lower abdominal surgeries, 4 and kidney transplantation, 5 with minimal side effects.…”

Section: Introductionmentioning

confidence: 99%

Quadratus lumborum block (transmuscular approach) versus transversus abdominis plane block (unilateral subcostal approach) for perioperative analgesia in patients undergoing open nephrectomy: a randomized, double-blinded, controlled trial

Saleh

Abdallah

Mahrous

et al. 2021

Brazilian Journal of Anesthesiology (English Edition)

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Effectiveness of ultrasound-guided transversus abdominis plane block for intraoperative and postoperative analgesia in kidney transplantation

Cited by 6 publications

References 0 publications

Comparison of Three-Quadrant Transversus Abdominis Plane Block and Continuous Epidural Block for Postoperative Analgesia After Transperitoneal Laparoscopic Nephrectomy

Comparison of Three-Quadrant Transversus Abdominis Plane Block and Continuous Epidural Block for Postoperative Analgesia After Transperitoneal Laparoscopic Nephrectomy

The Effect of Transversus Abdominis Plane Block in Kidney Transplantation: A Systematic Review and Meta-Analysis

Quadratus lumborum block (transmuscular approach) versus transversus abdominis plane block (unilateral subcostal approach) for perioperative analgesia in patients undergoing open nephrectomy: a randomized, double-blinded, controlled trial

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