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dc.contributor.authorMcDonnell, John G
dc.contributor.authorO'Donnell, Brian
dc.contributor.authorCurley, Gerard
dc.contributor.authorHeffernan, Anne
dc.contributor.authorPower, Camillus
dc.contributor.authorLaffey, John G
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
html.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.
html.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.
html.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.
html.description.abstractThe TAP block provided highly effective postoperative analgesia in the first 24 postoperative hours after major abdominal surgery.


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