The use of four-point transversus abdominis plane block for liver resection

Siddiqui, Shahla; Anandan, Subhashini

doi:10.4103/0019-5049.181617

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…They found that TAP block can produce effective analgesia for upper abdominal and hepatic surgery, patient was mobilized on postoperative day one and discharged from the Intensive Care Unit the next day. [ 13 ]…”

Section: Discussionmentioning

confidence: 99%

Dexmedetomidine in a surgically inserted catheter for transversus abdominis plane block in donor hepatectomy: A prospective randomized controlled study

et al. 2018

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Background:Transversus abdominis plane (TAP) block is a promising technique for analgesia after abdominal surgery. This prospective, randomized controlled trial assessed the effect of adding dexmedetomidine to bupivacaine in TAP block for donor hepatectomy. We hypothesized that this would improve postoperative morphine consumption and reduce analgesia related complication and inflammation.Methods:A total of 50 donor hepatectomy were enrolled in this study. Patients divided into two equal groups according to drugs used for TAP block. Group (B) received 20 ml of bupivacaine hydrochloride 0.25%, Group (BD) received 20 ml of bupivacaine hydrochloride 0.25% and 0.3 μg/kg dexmedetomidine, on both sides at the end of surgery and every 8 h for 48 h at right side only through inserted catheter. Primary outcome objective was morphine consumption at first 72 h. Secondary outcome objectives were morphine requirement, numbers of intake, time to first intake, pain score numerical analog scale (NAS), postoperative analgesia related complications, recovery of intestinal motility, and inflammatory markers.Results:Data were analyzed, rescue morphine analgesia was significantly lower in (BD) group compared with (B) groups as considering total morphine consumption (B 4 ± 1.9, BD 1.5 ± 0.5, P = 0.03), numbers of morphine intake (P = 0.04), morphine requirement (P = 0.03), and first time of analgesia intake (P = 0.04). NAS was significantly lower in group (BD) compared with group (B) group in the first 12 h (NAS 0 - P = 0.001, NAS 1 - P = 0.03). Adding dexmedetomidine improved gut motility, first oral intake without detectable anti-inflammatory effect.Conclusion:Adding dexmedetomidine to bupivacine in a surgically inserted catheter for TAP block in donor hepatectomy reduced morphine consumption without detectable anti-inflammatory effect.

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Section: Discussionmentioning

confidence: 99%

Dexmedetomidine in a surgically inserted catheter for transversus abdominis plane block in donor hepatectomy: A prospective randomized controlled study

et al. 2018

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“…In our study, mean opioid consumption at the 1st, 4th, 8th, and 24th post-operative hour was 33.45±10. 19 The results showed a significant mean difference for opioid consumption (p=<0.001) and VAS pain score at the 24th hour (p=<0.001) between the study Groups. There were 10(25%) males and 30(75%) females in Group-A and 6(15%) males and 34(85%) females in Group-B.…”

Section: Resultsmentioning

confidence: 88%

“…There is a theoretical possibility of the use of preincisional STA block for peri-operative analgesia for laparoscopic cholecystectomy to reduce intraoperative neuroendocrine stress response as well as achieve analgesia, but its effectiveness is not yet established, and no such study has been carried out so far. 18 On the other hand, the multiport laparoscopic cholecystectomy requires good supraumbilical analgesia, and a unilateral STA block is sufficiently reliable, which covers the dermatomes involving the standard port site and saves the hassle of a four-point TAP block, 19 and bilateral TAP block, which is more timeconsuming.…”

Section: Discussionmentioning

confidence: 99%

Unilateral Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy for Pain Control Comparison with Conventional Port Site and Peritoneal Infiltration

Rashid,

Imran,

Qureshi

et al. 2023

PAFMJ

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Objective: To compare image-guided unilateral subcostal transversus abdominis plane (STA) block with infiltration of local anaesthetic both port site and peritoneal for post-operative analgesia for laparoscopic gall bladder surgery. Study Design: Quasi-experimental study Place and Duration of Study: Department of Anesthesia, Combined Military Hospital, Quetta Pakistan, from Nov 2018 to Apr 2019. Methodology: The study sample (n=80) was divided into two Groups, one for image-guided subcostal transversus abdominis plane block and the other for peritoneal and port site infiltration of local anaesthetic. Anaesthesia was induced with intravenously administered propofol, atracurium, nalbuphine, and intraoperative non-opioid analgesia with ketorolac following which endotracheal intubation was done. The level of abdominal pain was assessed. Results: The mean opioid consumption at the 24th post-operative hour was 22.75±8.55 in Group-A and 43.20±11.80 in GroupB. Mean total opioid consumption was 111.40±35.99 and 218.90±63.91 in Group-A and B, respectively. The mean VAS score at the 24th post-operative hour was 1.20±0.96 in Group- A and 3.12±1.63 in Group-B. The results showed a significant mean difference between opioid consumption and VAS pain score at the 24th hour (p<0.05). Conclusion: The unilateral Subcostal transversus abdominis plane block proved a superior alternative to port site and peritoneal infiltration combined for laparoscopic cholecystectomy.

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Anesthesia for Hepatobiliary Cancers

Owusu-Agyemang

2021

Textbook of Onco-Anesthesiology

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The use of four-point transversus abdominis plane block for liver resection

Cited by 5 publications

References 10 publications

Dexmedetomidine in a surgically inserted catheter for transversus abdominis plane block in donor hepatectomy: A prospective randomized controlled study

Dexmedetomidine in a surgically inserted catheter for transversus abdominis plane block in donor hepatectomy: A prospective randomized controlled study

Unilateral Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy for Pain Control Comparison with Conventional Port Site and Peritoneal Infiltration

Anesthesia for Hepatobiliary Cancers

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