The analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial.

Hdl Handle:
http://hdl.handle.net/10147/127916
Title:
The analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial.
Authors:
McDonnell, John G; O'Donnell, Brian; Curley, Gerard; Heffernan, Anne; Power, Camillus; Laffey, John G
Affiliation:
Department of Anaesthesia and Intensive Care Medicine, University College Hospital, Galway, Ireland.
Citation:
The analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial. 2007, 104 (1):193-7 Anesth. Analg.
Journal:
Anesthesia and analgesia
Issue Date:
Jan-2007
URI:
http://hdl.handle.net/10147/127916
DOI:
10.1213/01.ane.0000250223.49963.0f
PubMed ID:
17179269
Abstract:
The transversus abdominis plane (TAP) block is a novel approach for blocking the abdominal wall neural afferents via the bilateral lumbar triangles of Petit. We evaluated its analgesic efficacy in patients during the first 24 postoperative hours after abdominal surgery, in a randomized, controlled, double-blind clinical trial.; Thirty-two adults undergoing large bowel resection via a midline abdominal incision were randomized to receive standard care, including patient-controlled morphine analgesia and regular nonsteroidal antiinflammatory drugs and acetaminophen (n = 16), or to undergo TAP block (n = 16) in addition to standard care (n = 16). After induction of anesthesia, 20 mL of 0.375% levobupivacaine was deposited into the transversus abdominis neuro-fascial plane via the bilateral lumbar triangles of Petit. Each patient was assessed by a blinded investigator in the postanesthesia care unit and at 2, 4, 6, and 24 h postoperatively.; The TAP block reduced visual analog scale pain scores (TAP versus control, mean +/- sd) on emergence (1 +/- 1.4 vs 6.6 +/- 2.8, P < 0.05), and at all postoperative time points, including at 24 h (1.7 +/- 1.7 vs 3.1 +/- 1.5, P < 0.05). Morphine requirements in the first 24 postoperative hours were also reduced (21.9 +/- 8.9 mg vs 80.4 +/- 19.2 mg, P < 0.05). There were no complications attributable to the TAP block. All TAP patients reported high levels of satisfaction with their postoperative analgesic regimen.; The TAP block provided highly effective postoperative analgesia in the first 24 postoperative hours after major abdominal surgery.
Item Type:
Article
Language:
en
MeSH:
Abdomen; Analgesia; Double-Blind Method; Female; Humans; Intestine, Large; Intestines; Male; Middle Aged; Neuromuscular Depolarizing Agents; Pain, Postoperative; Surgical Procedures, Operative
ISSN:
1526-7598

Full metadata record

DC FieldValue Language
dc.contributor.authorMcDonnell, John Gen
dc.contributor.authorO'Donnell, Brianen
dc.contributor.authorCurley, Gerarden
dc.contributor.authorHeffernan, Anneen
dc.contributor.authorPower, Camillusen
dc.contributor.authorLaffey, John Gen
dc.date.accessioned2011-04-11T10:22:41Z-
dc.date.available2011-04-11T10:22:41Z-
dc.date.issued2007-01-
dc.identifier.citationThe analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial. 2007, 104 (1):193-7 Anesth. Analg.en
dc.identifier.issn1526-7598-
dc.identifier.pmid17179269-
dc.identifier.doi10.1213/01.ane.0000250223.49963.0f-
dc.identifier.urihttp://hdl.handle.net/10147/127916-
dc.description.abstractThe transversus abdominis plane (TAP) block is a novel approach for blocking the abdominal wall neural afferents via the bilateral lumbar triangles of Petit. We evaluated its analgesic efficacy in patients during the first 24 postoperative hours after abdominal surgery, in a randomized, controlled, double-blind clinical trial.-
dc.description.abstractThirty-two adults undergoing large bowel resection via a midline abdominal incision were randomized to receive standard care, including patient-controlled morphine analgesia and regular nonsteroidal antiinflammatory drugs and acetaminophen (n = 16), or to undergo TAP block (n = 16) in addition to standard care (n = 16). After induction of anesthesia, 20 mL of 0.375% levobupivacaine was deposited into the transversus abdominis neuro-fascial plane via the bilateral lumbar triangles of Petit. Each patient was assessed by a blinded investigator in the postanesthesia care unit and at 2, 4, 6, and 24 h postoperatively.-
dc.description.abstractThe TAP block reduced visual analog scale pain scores (TAP versus control, mean +/- sd) on emergence (1 +/- 1.4 vs 6.6 +/- 2.8, P < 0.05), and at all postoperative time points, including at 24 h (1.7 +/- 1.7 vs 3.1 +/- 1.5, P < 0.05). Morphine requirements in the first 24 postoperative hours were also reduced (21.9 +/- 8.9 mg vs 80.4 +/- 19.2 mg, P < 0.05). There were no complications attributable to the TAP block. All TAP patients reported high levels of satisfaction with their postoperative analgesic regimen.-
dc.description.abstractThe TAP block provided highly effective postoperative analgesia in the first 24 postoperative hours after major abdominal surgery.-
dc.language.isoenen
dc.subject.meshAbdomen-
dc.subject.meshAnalgesia-
dc.subject.meshDouble-Blind Method-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshIntestine, Large-
dc.subject.meshIntestines-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshNeuromuscular Depolarizing Agents-
dc.subject.meshPain, Postoperative-
dc.subject.meshSurgical Procedures, Operative-
dc.titleThe analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial.en
dc.typeArticleen
dc.contributor.departmentDepartment of Anaesthesia and Intensive Care Medicine, University College Hospital, Galway, Ireland.en
dc.identifier.journalAnesthesia and analgesiaen
dc.description.provinceConnacht-

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