Randomized trial of transversus abdominis plane block at total laparoscopic hysterectomy: effect of regional analgesia on quality of recovery

Kane, Sarah; Garcia-Tomas, Vincent; Alejandro‐Rodriguez, Marilyn; Astley, Brendan; Pollard, R.R.

doi:10.1016/j.ajog.2012.06.052

Cited by 66 publications

(100 citation statements)

References 22 publications

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“…37 Em três deles comparam-se TAP vs TAP placebo ou não intervenção 34,36,37 e TAP vs placebo vs Infiltração. 35 Em todos os casos a abordagem medioaxilar bilateral foi usada; em dois no pré-operatório 35,36 e em dois no pós-operatório.…”

Section: Resultsunclassified

Eficácia analgésica do bloqueio ecoguiado do plano transverso do abdome – revisão sistemática

Ripollés

Mezquita

Abad

et al. 2015

Brazilian Journal of Anesthesiology

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The TAP have been shown to be an effective technique in colorectal surgery, cesarean section, cholecystectomy, hysterectomy, appendectomy, donor nephrectomy, retropubic prostatectomy, and bariatric surgery. However, the data found in RCT are not conclusive, and as a result, it is necessary to develop new and well designed RCT, with enough statistical power to compare different approaches, drugs, doses, and volumes for the same intervention, aiming to answer the current questions and their effects in the habitual clinical practice.

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Section: Resultsunclassified

Eficácia analgésica do bloqueio ecoguiado do plano transverso do abdome – revisão sistemática

Ripollés

Mezquita

Abad

et al. 2015

Brazilian Journal of Anesthesiology

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“…The benefits of TAP block for laparoscopic abdominal procedures appear to be less that of the corresponding open surgical procedures, (21,24,(32)(33)(34) and presently, the role of this regional anaesthetic procedure for lower abdominal laparoscopic surgery requires further evaluation with larger clinical trials, both to determine the most effective TAP technique and to investigate more precisely its benefits in terms of surgical recovery.…”

Section: Discussionmentioning

confidence: 99%

A randomised controlled trial investigating the analgesic efficacy of transversus abdominis plane block for adult laparoscopic appendicectomy

Tupper-Carey¹,

Fathil²,

Tan³

et al. 2017

smedj

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RESULTSMean postoperative morphine consumption at 12 hours (control group: 11.45 ± 7.64 mg, TAP intervention group: 9.79 ± 8.09 mg; p = 0.4264) and 24 hours (control group: 13.38 ± 8.72 mg, TAP intervention group: 11.31 ± 8.66 mg; p = 0.3686) for the control and TAP intervention groups were not statistically different. Secondary outcomes were also not different between the two groups. Length of stay in the post-anaesthesia care unit was significantly shorter for the TAP intervention group, with a trend toward faster hospital discharge being observed.CONCLUSION TAP block, a regional anaesthetic procedure performed immediately prior to skin incision for laparoscopic appendicectomy, did not significantly improve postoperative analgesia outcomes.

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“…Compared with the control group, TAP block reduced the six-hour pain score 17,21,26,32,50,51,54 by 1.2 (95% CI, -1.8 to -0.6; P \ 0.001), the 12-hr pain score 17,21,51 by 1.1 (95% CI, -2.0 to -0.3; P = 0.007), and the 24-hr pain score by 1.1 (95% CI, -2.1 to -0.2; P\0.001). The TAP block also reduced 24-hr morphine consumption 17,21,26,50,54,60,61 by 5.9 mg (95% CI, -8.6 to -3.1; P \ 0.001) ( Fig. 5; Table 2).…”

Section: Transversus Abdominal Plane Block Vs Local Infiltrationmentioning

confidence: 99%

“…The US-guided and landmark subgroup analyses for Cesarean delivery studies are presented in Table 3. Transversus abdominal plane block in gynecological surgery Eleven studies 17,21,26,32,50,51,54,[58][59][60][61] evaluated the efficacy of TAP block in gynecological surgery. Compared with the control group, TAP block reduced the six-hour pain score 17,21,26,32,50,51,54 by 1.2 (95% CI, -1.8 to -0.6; P \ 0.001), the 12-hr pain score 17,21,51 by 1.1 (95% CI, -2.0 to -0.3; P = 0.007), and the 24-hr pain score by 1.1 (95% CI, -2.1 to -0.2; P\0.001).…”

Section: Transversus Abdominal Plane Block Vs Local Infiltrationmentioning

confidence: 99%

Transversus abdominal plane block for postoperative analgesia: a systematic review and meta-analysis of randomized-controlled trials

Brogi

Kazan

Cyr

et al. 2016

Can J Anesth/J Can Anesth

131

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Purpose The transversus abdominal plane (TAP) block has been described as an effective pain control technique after abdominal surgery. We performed a systematic review and meta-analysis of randomized-controlled trials (RCTs) to account for the increasing number of TAP block studies appearing in the literature. The primary outcome we examined was the effect of TAP block on the postoperative pain score at six, 12, and 24 hr. The secondary outcome was 24-hr morphine consumption. Source We searched the United States National Library of Medicine database, the Excerpta Medica database, and the Cochrane Central Register of Controlled Clinical Studies and identified RCTs focusing on the analgesic efficacy of TAP block compared with a control group [i.e., placebo, epidural analgesia, intrathecal morphine (ITM), and ilioinguinal nerve block after abdominal surgery]. Meta-analyses were performed on postoperative pain scores at rest at six, 12, and 24 hr (visual analogue scale, 0-10) and on 24-hr opioid consumption. Principal findings In the 51 trials identified, compared with placebo, TAP block reduced the VAS for pain at six hours by 1.4 (95% confidence interval [CI], -1.9 to -0.8; P\0.001), at 12 hr by 2.0 (95% CI, -2.7 to -1.4; P\0.001), and at 24 hr by 1.2 (95% CI, -1.6 to -0.8; P \ 0.001). Similarly, compared with placebo, TAP block reduced morphine consumption at 24 hr after surgery (mean difference, -14.7 mg; 95% CI, -18.4 to -11.0; P \0.001). We observed this reduction in pain scores and morphine consumption in the TAP block group after gynecological surgery, appendectomy, inguinal surgery, bariatric surgery, and urological surgery. Nevertheless, separate analysis of the studies comparing ITM with TAP block revealed that ITM seemed to have a greater analgesic efficacy. Conclusions The TAP block can play an important role in the management of pain after abdominal surgery by reducing both pain scores and 24-hr morphine consumption. It may have particular utility when neuraxial techniques or opioids are contraindicated. RésuméObjectif Le bloc dans le plan du muscle transverse de l'abdomen (ou TAP bloc) a été décrit comme une technique efficace de contrô le de la douleur après une chirurgie abdominale. Nous avons réalisé une revue systématique et une méta-analyse des études randomisées contrô lées (ERC) pour faire un état des lieux du nombre croissant d'études

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Randomized trial of transversus abdominis plane block at total laparoscopic hysterectomy: effect of regional analgesia on quality of recovery

Cited by 66 publications

References 22 publications

Eficácia analgésica do bloqueio ecoguiado do plano transverso do abdome – revisão sistemática

Eficácia analgésica do bloqueio ecoguiado do plano transverso do abdome – revisão sistemática

A randomised controlled trial investigating the analgesic efficacy of transversus abdominis plane block for adult laparoscopic appendicectomy

Transversus abdominal plane block for postoperative analgesia: a systematic review and meta-analysis of randomized-controlled trials

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