Transversus Abdominis Plane Block Reduces the Analgesic Requirements After Abdominoplasty With Flank Liposuction

Araco, Antonino; Pooney, Jack; Araco, Francesco; Gravante, Gianpiero

doi:10.1097/sap.0b013e3181cc2a24

Cited by 65 publications

(62 citation statements)

References 14 publications

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“…A TAP block can be used in pain control after large bowel resection, laparoscopic appendectomy, cesarean section, hysterectomy, laparoscopic cholecystectomy, open prostatectomy, abdominoplasty or renal transplant surgery [8,10,12,13,[30][31][32][33] . Most studies have demonstrated that using a TAP block leads to reduced opiod consumption for controlling postoperative pain or reducing postoperative pain, as measured by the VAS [8] .…”

Section: Discussionmentioning

confidence: 99%

Peritoneal Dialysis Catheter Placement Using an Ultrasound-Guided Transversus Abdominis Plane Block

Markić¹,

Vujičić²,

Ivanovski³

et al. 2015

Blood Purif

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Background: Peritoneal dialysis (PD) catheter placement is usually performed using general or local anesthesia. We present our PD catheter placement experience using an ultrasound-guided transversus abdominis plane (TAP) block, which is a regional anesthesia technique. Methods: In this study, we analyzed 33 patients from our center with ESRD who underwent PD catheter placement using a TAP block between June 2011 and April 2014. Results: The TAP block was successful for 29/33 (87.9%) patients. Four patients (12.1%) had pain at the incision site and required general anesthesia. There were no anesthesia-, surgery- or catheter-related complications. Conclusion: ESRD patients have a substantial number of comorbidities that can be negatively influenced by general anesthesia. Because regional anesthesia has no systemic effect, this procedure could be recommended for this group of patients. A TAP block is an effective, safe method and can be used as the principal anesthesia technique for PD catheter placement.

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Section: Discussionmentioning

confidence: 99%

Peritoneal Dialysis Catheter Placement Using an Ultrasound-Guided Transversus Abdominis Plane Block

Markić¹,

Vujičić²,

Ivanovski³

et al. 2015

Blood Purif

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“…Böylece özellikle alt abdominal , jinekolojik ve ürolojik prosedürler için etkin bir analjezi sağlar. Birçok çalışma, postoperatif opioid tüketimini azaltması, daha az ağrı skorları oluşturma-sı ve opioid ile ilişkili yan etkileri azaltması açısından TAP bloğun etkisini raporlamışlardır (3,(13)(14)(15) . Bu çalış-maların aksine, bazı çalışmalarda TAP bloğun yara yeri infiltrasyonuna herhangi bir üstünlüğü olmadığı gösterilmiştir (16,17) .…”

Section: Discussionunclassified

The comparison of ultrasonography guided transversus abdominis plane block and wound infiltration for pediatric inguinal hernia repair: Randomised clinical study

Ahişkalıoğlu¹,

Yayık²,

Ekinci³

et al. 2017

BUCH

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ÖZAmaç: Transversus abdominis plan (TAP) blokun postoperatif analjezik etkinliği abdominal cerrahi geçirecek olan hastalarda tartışmalıdır. Bu çalışmanın amacı, inguinal herni tamiri yapı-lan pediyatrik hastalarda ultrasound eşliğinde yapılan TAP blok ile yara yeri infiltrasyonunun analjezik etkinliğini karşılaştırmaktır. Yöntem: Etik onam alındıktan sonra 3-8 yaş arası, tek taraflı inguinal herni onarımı yapılacak olan 60 hasta randomize olarak TAP blok (Grup TAP, n=30) veya yara yeri infiltrasyonu (Grup infiltrasyon, n=30) olarak iki gruba ayrıldı. TAPB grubuna ultrason eşliğinde 0,5 ml/kg olacak şekilde %0,25'lik bupivakain, Grup C'ye ise 0,5 ml/kg olacak şekilde 0,25'lik bupivakain cerrahi öncesi uygulandı. Ağrı skorları (Wong-Baker Yüz Skalası), aile memnuniyeti, blok komplikasyonları ve ek analjezik gereksinimi kaydedildi. Bulgular: İnfiltrasyon grubu ile karşılaştırıldığında, ilk 12 saatteki ağrı skorları TAPB grubunda istatistiksel olarak daha düşüktü (p<0,05). Ek analjezik gereksinimi TAPB grubunda, infiltrasyon grubuna göre istatistiksel olarak daha düşüktü (10/30 vs 18/30 sırasıyla, p=0,038). Aile memnuniyeti TAPB grubunda, Grup infiltrasyona göre istatistiksel olarak daha fazlaydı (p<0,001). Sonuç: TAP bloğun postoperatif analjezik etkinliği tartışmalı olmasına rağmen, pediyatrik inguinal herni tamirinde ultrason eşliğinde uygulanan TAP blok yara yeri infiltrasyonuna göre ağrı skorlarını anlamlı derecede azaltmaktadır.Anahtar kelimeler: Ultrasonografi, transversus abdominis plan bloku, inguinal herni, postoperatif analjezi ABSTRACT Objective: Postoperative analgesic effect of transversus abdominis plane (TAP) block in patients undergoing abdominal surgery has been debatable. The aim of this study was to compare the analgesic effect of ultrasound guided TAP block and wound infiltration in pediatric patients undergoing inguinal herniorrhaphy. Methods: After ethical board approval, 60 children between 3 and 8 years of age undergoing unilateral inguinal hernia repair were randomized to TAP block (Group TAP, n=30) or to wound infiltration (Group infiltration, n=30). Group TAPB received ultrasound-guided TAP block with 0.25% bupivacaine 0.5 ml/kg and Group C received wound infiltration with 0.25% bupivacaine 0.5 ml/kg before surgery. Pain scores (Wong-Baker Faces), parental satisfication, block complications and additional analgesia requirements were recorded. Results: Compared with the infiltration group, the pain scores were statistically lower in the TAPB group during the first 12 hours (p<0.05). The additional analgesia requirement was statistically lower in the TAPB group than Group infiltration group (10/30 vs 18/30 respectively, p=0.038). Parental satisfaction was statistically higher in the Group TAPB than Group infiltration (p<0.001). Conclusion: Despite the postoperative effect of TAP block is debatable; ultrasound-guided TAP block reduces postoperative pain after pediatric inguinal hernia repair compared to wound infiltration.

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“…As a landmark-based technique, the transversus abdominis plane block (TAP) has provided excellent analgesia in adults undergoing lower abdominal surgery including hernia repair, appendectomy, abdominal hysterectomy, and cesarean section [105][106][107][108] . Application to the pediatric population, in which landmarks are diffi cult or impossible to palpate, has been eased by the use of ultrasound [ 109,110 ] .…”

Section: Transversus Abdominis Plane Blockmentioning

confidence: 99%

Regional Anesthetic Techniques for the Pediatric Patient

Fritz

Barnhouse

Ramadhyani

et al. 2011

Essentials of Regional Anesthesia

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Transversus Abdominis Plane Block Reduces the Analgesic Requirements After Abdominoplasty With Flank Liposuction

Cited by 65 publications

References 14 publications

Peritoneal Dialysis Catheter Placement Using an Ultrasound-Guided Transversus Abdominis Plane Block

Peritoneal Dialysis Catheter Placement Using an Ultrasound-Guided Transversus Abdominis Plane Block

The comparison of ultrasonography guided transversus abdominis plane block and wound infiltration for pediatric inguinal hernia repair: Randomised clinical study

Regional Anesthetic Techniques for the Pediatric Patient

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