Postoperative analgesia – still failing to meet the standard

Silva, E. de; Plaat, Felice van der

doi:10.1111/j.1365-2044.2012.07210.x

Cited by 1 publication

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…February 27, 2014|Volume 6|Issue 2| WJGS|www.wjgnet.com surgery as an outpatient procedure [35,36] . It is important to note that the transversus abdominis block successfully treats parietal pain but visceral pain is not treated by a TAP block.…”

Section: De Oliveira Gs Et Al Tap Block Gastric Bandingmentioning

confidence: 99%

Transversus abdominis plane infiltration for laparoscopic gastric banding: A pilot study

Oliveira

Fitzgerald

Ahmad

et al. 2014

WJGS

View full text Add to dashboard Cite

AIM:To estimate an effect size for the transversus abdominis plane (TAP) infiltration on quality of recovery in patients undergoing laparoscopic gastric band surgery. METHODS:The pilot study was a randomized, double blinded, placebo controlled trial. Patients undergoing laparoscopic gastric band surgery were randomized to receive a bilateral TAP infiltration with 20 mL of 0.5% ropivacaine or saline. The evaluated outcomes included quality of recovery-40 (QoR-40) at 24 h, postoperative opioid consumption and pain. Data was examined using the Mann-Whitney U test. RESULTS:Nineteen subjects were recruited. There was a positive trend favoring the TAP infiltration group in global QoR-40 scores at 24 h after surgery, median [interquartile range (IQR)] of 175.5 (170-189) compared to 170 (160-175) in the control group (P = 0.06). There also a positive trend toward a lower cumulative opioid consumption in the TAP infiltration group, median (IQR) of 7.5 (2.5-11.5) mg iv morphine equivalents compared to 13 (7-21.5) in the control group (P = 0.07). Correlation analysis (Spearman's Rho) demonstrated an inverse relationship between 24 h cumulative opioid consumption and global QoR-40 scores, -0.49 (P = 0.03). CONCLUSION:The use of multimodal analgesic techniques to reduce opioid related side effects is particularly desirable in morbidly obese patients undergoing gastric reduction surgery. The TAP infiltration seems to have a clinically important effect in reducing postoperative opioid consumption and improve quality of recovery after laparoscopic gastric band surgery in morbid obese patients. Future studies to confirm the beneficial effects of the TAP infiltration in these patients are warranted.© 2014 Baishideng Publishing Group co., Limited. All rights reserved.Key words: Transversus abdominis plane; Infiltration; Gastric band; Pain; Recovery Core tip: In this current randomized, double blinded, placebo controlled pilot study we estimated the effect of a transversus abdominis plane block on postoperative quality of recovery in morbidly obese patients undergoing laparoscopic gastric band surgery. Postoperative opioid consumption was inversely correlated to quality of recovery in this surgical population. The transversus abdominis plane block seems to be an effective strategy to improve quality of recovery in those patients.

show abstract

Section: De Oliveira Gs Et Al Tap Block Gastric Bandingmentioning

confidence: 99%