Transversus abdominis plane block or intravenous lignocaine in open prostate surgery: a randomized controlled trial

Maquoi, Isabelle; Joris, Jean; Dresse, Caroline; Vandenbosch, Sofia; Venneman, Ingrid; Brichant, Jean-François; Hans, Grégory

doi:10.1111/aas.12773

Cited by 17 publications

(33 citation statements)

References 27 publications

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“…The obtained results are in line with the findings of 1 recently published trial that compared the effect of systemic lidocaine and TAP-block on postoperative pain after open prostate surgery showing no significant differences in postoperative opioid consumption for systemic lidocaine and TAP-block. 23 The reasons why the QL-block and systemic lidocaine had comparative analgesic effects in our study are speculative.…”

Section: Discussionmentioning

confidence: 77%

Quadratus Lumborum Block Versus Perioperative Intravenous Lidocaine for Postoperative Pain Control in Patients Undergoing Laparoscopic Colorectal Surgery

et al. 2018

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Section: Discussionmentioning

confidence: 77%

Quadratus Lumborum Block Versus Perioperative Intravenous Lidocaine for Postoperative Pain Control in Patients Undergoing Laparoscopic Colorectal Surgery

et al. 2018

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“…To date, three studies have investigated the efficacy of transversus abdominis plane blocks for open prostatectomy. [212][213][214] Two of the three trials could not detect significant benefit associated with lateral transversus abdominis plane blocks. Thus, we do not suggest their use for open prostatectomy.…”

Section: Prostactectomymentioning

confidence: 93%

Transversus Abdominis Plane Block

et al. 2019

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In this narrative review article, the authors discuss the anatomy, nomenclature, history, approaches (posterior vs. lateral vs. subcostal), techniques, pharmacology, indications, and complications of transversus abdominis plane blocks, as well as possible alternative truncal blocks. Despite the scarcity of evidence and contradictory findings, certain clinical suggestions can nonetheless be made. Overall transversus abdominis plane blocks appear most beneficial in the setting of open appendectomy (posterior or lateral approach). Lateral transversus abdominis plane blocks are not suggested for laparoscopic hysterectomy, laparoscopic appendectomy, or open prostatectomy. However, transversus abdominis plane blocks could serve as an analgesic option for Cesarean delivery (posterior or lateral approach) and open colorectal section (subcostal or lateral approach) if there exist contraindications to intrathecal morphine and thoracic epidural analgesia, respectively. Future investigation is required to compare posterior and subcostal transversus abdominis plane blocks in clinical settings. Furthermore, posterior transversus abdominis plane blocks should be investigated for surgical interventions in which their lateral counterparts have proven not to be beneficial (e.g., laparoscopic hysterectomy/appendectomy, open prostatectomy). More importantly, because posterior transversus abdominis plane blocks can purportedly provide sympathetic blockade and visceral analgesia, they should be compared with thoracic epidural analgesia for open colorectal surgery. Finally, transversus abdominis plane blocks should be compared with newer truncal blocks (e.g., erector spinae plane and quadratus lumborum blocks) with well-designed and adequately powered trials.

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“…The 2018 update [17] incorporated 23 new trials, taking the total number of studies to 68. Out of these, 22 examined open abdominal surgery and 20 laparoscopic surgery, including (in addition to a new study in the 2015 version [63]), a further seven trials [64–70] measuring pain at 24 h. The authors also noted that a number of studies reported small variances, and added the novel methodological feature of 95% prediction intervals. These provide an index of dispersion (based on the SD) that suggests how widely the mean effects vary across populations; reporting a prediction interval in addition to the summary estimate and CI illustrate what range of true mean effects might be expected in future settings, and is also helpful in the clinical interpretation of heterogeneity.…”

Section: Is Intravenous Lidocaine Effective In the Treatment Of Postoperative Pain?mentioning

confidence: 99%

The use of intravenous lidocaine for postoperative pain and recovery: international consensus statement on efficacy and safety

et al. 2020

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Summary Intravenous lidocaine is used widely for its effect on postoperative pain and recovery but it can be, and has been, fatal when used inappropriately and incorrectly. The risk‐benefit ratio of i.v. lidocaine varies with type of surgery and with patient factors such as comorbidity (including pre‐existing chronic pain). This consensus statement aims to address three questions. First, does i.v. lidocaine effectively reduce postoperative pain and facilitate recovery? Second, is i.v. lidocaine safe? Third, does the fact that i.v. lidocaine is not licensed for this indication affect its use? We suggest that i.v. lidocaine should be regarded as a ‘high‐risk’ medicine. Individual anaesthetists may feel that, in selected patients, i.v. lidocaine may be beneficial as part of a multimodal peri‐operative pain management strategy. This approach should be approved by hospital medication governance systems, and the individual clinical decision should be made with properly informed consent from the patient concerned. If i.v. lidocaine is used, we recommend an initial dose of no more than 1.5 mg.kg‐1, calculated using the patient’s ideal body weight and given as an infusion over 10 min. Thereafter, an infusion of no more than 1.5 mg.kg‐1.h‐1 for no longer than 24 h is recommended, subject to review and re‐assessment. Intravenous lidocaine should not be used at the same time as, or within the period of action of, other local anaesthetic interventions. This includes not starting i.v. lidocaine within 4 h after any nerve block, and not performing any nerve block until 4 h after discontinuing an i.v. lidocaine infusion.

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Transversus abdominis plane block or intravenous lignocaine in open prostate surgery: a randomized controlled trial

Abstract: Our study suggests that TAP block and intravenous lignocaine do not improve the post-operative analgesia provided by systematic administration of paracetamol after open prostatectomy.

Cited by 17 publications

References 27 publications

Quadratus Lumborum Block Versus Perioperative Intravenous Lidocaine for Postoperative Pain Control in Patients Undergoing Laparoscopic Colorectal Surgery

Quadratus Lumborum Block Versus Perioperative Intravenous Lidocaine for Postoperative Pain Control in Patients Undergoing Laparoscopic Colorectal Surgery

Transversus Abdominis Plane Block

The use of intravenous lidocaine for postoperative pain and recovery: international consensus statement on efficacy and safety

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