Ultrasound-guided Transversus Abdominis Plane Block Improves Postoperative Analgesia and Early Recovery in Patients Undergoing Retroperitoneoscopic Urologic Surgeries: A Randomized Controlled Double-blinded Trial<sup>△</sup>

Qu Ge; Cui Xu-lei; Liu Hong-ju; Ji Zhi-gang; Huang Yu-guang

Your Location：

Home >

Browse articles >

Ultrasound-guided Transversus Abdominis Plane Block Improves Postoperative Analgesia and Early Recovery in Patients Undergoing Retroperitoneoscopic Urologic Surgeries: A Randomized Controlled Double-blinded Trial^△

Chinese Medical Sciences Journal Vol. 31, Issue 3, Pages: 137-141(2016)

Orginal Article | Updated：2024-04-10

- Ultrasound-guided Transversus Abdominis Plane Block Improves Postoperative Analgesia and Early Recovery in Patients Undergoing Retroperitoneoscopic Urologic Surgeries: A Randomized Controlled Double-blinded Trial^△
- Affiliations：
  
  1. 1Department of Anesthesiology
  2. 2Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
- Author bio：
  
  *Corresponding authors Fax: 86-10-69152058, E-mail: garybeijing@163.com
- Funds：
- DOI：
  CLC：
- Published Online：20 June 2016，
  
  Published：2016-06
- Accepted：
Scan QR Code
Qu Ge, Cui Xu-lei, Liu Hong-ju, et al. Ultrasound-guided Transversus Abdominis Plane Block Improves Postoperative Analgesia and Early Recovery in Patients Undergoing Retroperitoneoscopic Urologic Surgeries: A Randomized Controlled Double-blinded Trial^△[J]. Chinese medical sciences journal, 2016, 31(3): 137-141.
DOI：

Qu Ge, Cui Xu-lei, Liu Hong-ju, et al. Ultrasound-guided Transversus Abdominis Plane Block Improves Postoperative Analgesia and Early Recovery in Patients Undergoing Retroperitoneoscopic Urologic Surgeries: A Randomized Controlled Double-blinded Trial^△[J]. Chinese medical sciences journal, 2016, 31(3): 137-141. DOI：

摘要

Abstract

Objective

To evaluate the effects of ultrasound-guided transversus abdominis plane (TAP) block on postoperative analgesia and early recovery in patients undergoing retroperitoneoscopic urologic surgeries.

Methods

This was a randomized

controlled

double-blinded trial. Eligible patients scheduled for retroperitoneoscopic urologic surgeries were randomly assigned to two groups. Group TAP received ultrasound-guided TAP block with 0.5% ropivacaine 20 ml at 30 minutes before surgery

and Group C received TAP sham block with normal saline. All patients received retroperitoneoscopic urologic surgeries under general anesthesia. The primary outcome was the severity of pain after surgery. Secondary outcomes included opioids consumption

analgesics

postoperative nausea and vomiting

time to Foley catheter removal and to passage of flatus

length of post-anesthesia care unit stay and hospital stay.

Results

Eighty patients completed the study

forty cases in each group. Compared to the Group C

the Group TAP had lower visual analogue scale pain scores within two postoperative days (all

0.05). They also had less consumption of intraoperative fentanyl (2.0±0.5

. 3.8±0.7 μg/kg

0.05)

reduced incidence of postoperative rescue analgesic usage (12.5%

. 45.0%

0.05)

and lower incidence of postoperative nausea and vomiting within postoperative 48 hours (12.5%

. 25.0%

0.05) when compared to the Group C. In addition

Group TAP had a shortened post-anesthesia care unit stay (25±8

. 49±12 minutes

0.05)

and a greater proportion of patients discharged within postoperative three days (57.5%

. 35.0%

0.05).

Conclusion

Preoperative ultrasound-guided TAP block is an effective technique to improve postoperative analgesia and early recovery in patients undergoing retroperitoneoscopic urologic surgeries.

关键词

Keywords

references

Barczynski M , Konturek A , Nowak W. Randomized clinical trial of posterior retroperitoneoscopic adrenalectomy versus lateral transperitoneal laparoscopic adrenalectomy with a 5-year follow-up. Ann Surg 2014 ; 260 : 740 - 7 .

Wu CL , Raja SN. Treatment of acute postoperative pain. Lancet 2011 ; 377 : 2215 - 25 .

Champaneria R , Shah L , Geoghegan J , et al. Analgesic effectiveness of transversus abdominis plane blocks after hysterectomy: a meta-analysis. Eur J Obstet Gynecol Reprod Biol 2013 ; 166 : 1 - 9 .

Keir A , Rhodes L , Kayal A , et al. Does a transversus abdominis plane (TAP) local anaesthetic block improve pain control in patients undergoing laparoscopic chole- cystectomy? A best evidence topic. Int J Surg 2013 ; 11 : 792 - 4 .

Chung F , Chan VW , Ong D. A post-anesthetic discharge scoring system for home readiness after ambulatory surgery. J Clin Anesth 1995 ; 7 : 500 - 6 .

Gulyam Kuruba SM , Mukhtar K , Singh SK. A randomised controlled trial of ultrasound-guided transversus abdominis plane block for renal transplantation. Anaesthesia 2014 ; 69 : 1222 - 6 .

Parikh BK , Waghmare VT , Shah VR , et al. The analgesic efficacy of ultrasound-guided transversus abdominis plane block for retroperitoneoscopic donor nephrectomy: A randomized controlled study. Saudi J Anaesth 2013 ; 7 : 43 - 7 .

Johns N , O'Neill S , Ventham NT , et al . Clinical effectiveness of transversus abdominis plane (TAP) block in abdominal surgery: a systematic review and meta-analysis. Colorectal Dis 2012 ; 14 : e635 - 42 .

Barrington MJ , Ivanusic JJ , Rozen WM , et al. Spread of injectate after ultrasound-guided subcostal transversus abdominis plane block: a cadaveric study. Anaesthesia 2009 ; 64 : 745 - 50 .

Støving K , Rothe C , Rosenstock CV , et al. Cutaneous sensory block area, muscle-relaxing effect, and block duration of the transversus abdominis plane block: a randomized, Blinded, and Placebo-controlled Study in Healthy Volunteers. Reg Anesth Pain Med 2015 ; 40 : 355 .

Kessler J , Marhofer P , Hopkins P. Peripheral regional anaesthesia and outcome: lessons learned from the last 10 years. Br J Anaesth 2015 ; 114 : 728 - 45 .

Brinkrolf P , Hahnenkamp K. Systemic lidocaine in surgical procedures: effects beyond sodium channel blockade. Curr Opin Anaesthesiol 2014 ; 27 : 420 - 5 .

Sjovall S , Kokki M , Kokki H. Laparoscopic surgery: a narrative review of pharmacotherapy in pain management. Drugs 2015 ; 75 : 1867 - 89 .

Kitayama M. Role of regional anesthesia in the enhanced recovery after surgery program. J Anesth 2014 ; 28 : 152 - 5 .

Di Rollo D , Mohammed A , Rawlinson A , et al. Enhanced recovery protocols in urological surgery: a systematic review. Can J Urol 2015 ; 22 : 7817 - 23 .

Views

Downloads

CSCD

Alert me when the article has been cited

Submit

Publicity Resources

No data

Related Author

No data

Related Institution

No data

⁰