The transversus abdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy.

Hdl Handle:
http://hdl.handle.net/10147/127693
Title:
The transversus abdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy.
Authors:
Carney, John; McDonnell, John G; Ochana, Alan; Bhinder, Raj; Laffey, John G
Affiliation:
Department of Anaesthesia, Clinical Sciences Institute, National University of Ireland, Galway, Ireland.
Citation:
The transversus abdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy. 2008, 107 (6):2056-60 Anesth. Analg.
Journal:
Anesthesia and analgesia
Issue Date:
Dec-2008
URI:
http://hdl.handle.net/10147/127693
DOI:
10.1213/ane.0b013e3181871313
PubMed ID:
19020158
Abstract:
Patients undergoing total abdominal hysterectomy suffer significant postoperative pain. The transversus abdominis plane (TAP) block is a recently described approach to providing analgesia to the anterior abdominal wall. We evaluated the analgesic efficacy of the TAP block in patients undergoing total abdominal hysterectomy via a transverse lower abdominal wall incision, in a randomized, controlled, double-blind clinical trial.; Fifty females undergoing elective total abdominal hysterectomy were randomized to undergo TAP block with ropivacaine (n = 24) versus placebo (n = 26) in addition to standard postoperative analgesia comprising patient-controlled IV morphine analgesia and regular diclofenac and acetaminophen. All patients received a general anesthetic and, before surgical incision, a bilateral TAP block was performed using 1.5 mg/kg ropivacaine (to a maximal dose of 150 mg) or saline on each side. Each patient was assessed postoperatively by a blinded investigator in the postanesthesia care unit and at 2, 4, 6, 12, 24, 36, 48 h postoperatively.; The TAP block with ropivacaine reduced postoperative visual analog scale pain scores compared to placebo block. Mean (+/-SD) total morphine requirements in the first 48 postoperative hours were also reduced (55 +/- 17 mg vs 27 +/- 20 mg, P < 0.001). The incidence of sedation was reduced in patients undergoing TAP blockade. There were no complications attributable to the TAP block.; The TAP block, as a component of a multimodal analgesic regimen, provided superior analgesia when compared to placebo block up to 48 postoperative hours after elective total abdominal hysterectomy.
Item Type:
Article
Language:
en
MeSH:
Adult; Aged; Double-Blind Method; Female; Humans; Hysterectomy; Middle Aged; Nerve Block; Pain, Postoperative
ISSN:
1526-7598

Full metadata record

DC FieldValue Language
dc.contributor.authorCarney, Johnen
dc.contributor.authorMcDonnell, John Gen
dc.contributor.authorOchana, Alanen
dc.contributor.authorBhinder, Rajen
dc.contributor.authorLaffey, John Gen
dc.date.accessioned2011-04-07T11:21:12Z-
dc.date.available2011-04-07T11:21:12Z-
dc.date.issued2008-12-
dc.identifier.citationThe transversus abdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy. 2008, 107 (6):2056-60 Anesth. Analg.en
dc.identifier.issn1526-7598-
dc.identifier.pmid19020158-
dc.identifier.doi10.1213/ane.0b013e3181871313-
dc.identifier.urihttp://hdl.handle.net/10147/127693-
dc.description.abstractPatients undergoing total abdominal hysterectomy suffer significant postoperative pain. The transversus abdominis plane (TAP) block is a recently described approach to providing analgesia to the anterior abdominal wall. We evaluated the analgesic efficacy of the TAP block in patients undergoing total abdominal hysterectomy via a transverse lower abdominal wall incision, in a randomized, controlled, double-blind clinical trial.-
dc.description.abstractFifty females undergoing elective total abdominal hysterectomy were randomized to undergo TAP block with ropivacaine (n = 24) versus placebo (n = 26) in addition to standard postoperative analgesia comprising patient-controlled IV morphine analgesia and regular diclofenac and acetaminophen. All patients received a general anesthetic and, before surgical incision, a bilateral TAP block was performed using 1.5 mg/kg ropivacaine (to a maximal dose of 150 mg) or saline on each side. Each patient was assessed postoperatively by a blinded investigator in the postanesthesia care unit and at 2, 4, 6, 12, 24, 36, 48 h postoperatively.-
dc.description.abstractThe TAP block with ropivacaine reduced postoperative visual analog scale pain scores compared to placebo block. Mean (+/-SD) total morphine requirements in the first 48 postoperative hours were also reduced (55 +/- 17 mg vs 27 +/- 20 mg, P < 0.001). The incidence of sedation was reduced in patients undergoing TAP blockade. There were no complications attributable to the TAP block.-
dc.description.abstractThe TAP block, as a component of a multimodal analgesic regimen, provided superior analgesia when compared to placebo block up to 48 postoperative hours after elective total abdominal hysterectomy.-
dc.language.isoenen
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshDouble-Blind Method-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshHysterectomy-
dc.subject.meshMiddle Aged-
dc.subject.meshNerve Block-
dc.subject.meshPain, Postoperative-
dc.titleThe transversus abdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy.en
dc.typeArticleen
dc.contributor.departmentDepartment of Anaesthesia, Clinical Sciences Institute, National University of Ireland, Galway, Ireland.en
dc.identifier.journalAnesthesia and analgesiaen
dc.description.provinceConnacht-

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