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The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy

BACKGROUND: Several methods are performed to control the pain after a laparoscopic cholecystectomy. Recently, the transverse abdominis plane block has been proposed to compensate for the problems developed by preexisting methods. This study was designed to evaluate the effect of the ultrasound-guide...

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Autores principales: Ra, Yoon Suk, Kim, Chi Hyo, Lee, Guie Yong, Han, Jong In
Formato: Texto
Lenguaje:English
Publicado: The Korean Society of Anesthesiologists 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2876857/
https://www.ncbi.nlm.nih.gov/pubmed/20508793
http://dx.doi.org/10.4097/kjae.2010.58.4.362
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author Ra, Yoon Suk
Kim, Chi Hyo
Lee, Guie Yong
Han, Jong In
author_facet Ra, Yoon Suk
Kim, Chi Hyo
Lee, Guie Yong
Han, Jong In
author_sort Ra, Yoon Suk
collection PubMed
description BACKGROUND: Several methods are performed to control the pain after a laparoscopic cholecystectomy. Recently, the transverse abdominis plane block has been proposed to compensate for the problems developed by preexisting methods. This study was designed to evaluate the effect of the ultrasound-guided transverse abdominis plane block (US-TAP block) and compare efficacy according to the concentration of local analgesics in patients undergoing laparoscopic cholecystectomy. METHODS: Fifty-four patients undergoing laparoscopic cholecystectomy were randomized into three groups. The patients in Group Control did not receive the US-TAP block. The patients in Group B(0.25) and Group B(0.5) received the US-TAP block with 0.25% and 0.5% levobupivacaine 30 ml respectively. After the general anesthesia, a bilateral US-TAP block was performed using an in-plane technique with 15 ml levobupivacaine on each side. Intraoperative use of remifentanil and postoperative demand of rescue analgesics in PACU were recorded. The postoperative verbal numerical rating scale (VNRS) was evaluated at 20, 30, and 60 min, and 6, 12, and 24 hr. Postoperative complications, including pneumoperitoneum, bleeding, infection, and sleep disturbance, were also checked. RESULTS: The intraoperative use of remifentanil, postoperative VNRS and the postoperative demand of rescue analgesics were lower in the groups receiving the US-TAP block (Group B(0.25) and Group B(0.5)) than Group Control. There were no statistically or clinically significant differences between Group B(0.25) and Group B(0.5). No complications related to the US-TAP block were observed. CONCLUSIONS: The US-TAP block with 0.25% or 0.5% levobupivacaine 30 ml (15 ml on each side) significantly reduced postoperative pain in patients undergoing laparoscopic cholecystectomy.
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spelling pubmed-28768572010-05-27 The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy Ra, Yoon Suk Kim, Chi Hyo Lee, Guie Yong Han, Jong In Korean J Anesthesiol Clinical Research Article BACKGROUND: Several methods are performed to control the pain after a laparoscopic cholecystectomy. Recently, the transverse abdominis plane block has been proposed to compensate for the problems developed by preexisting methods. This study was designed to evaluate the effect of the ultrasound-guided transverse abdominis plane block (US-TAP block) and compare efficacy according to the concentration of local analgesics in patients undergoing laparoscopic cholecystectomy. METHODS: Fifty-four patients undergoing laparoscopic cholecystectomy were randomized into three groups. The patients in Group Control did not receive the US-TAP block. The patients in Group B(0.25) and Group B(0.5) received the US-TAP block with 0.25% and 0.5% levobupivacaine 30 ml respectively. After the general anesthesia, a bilateral US-TAP block was performed using an in-plane technique with 15 ml levobupivacaine on each side. Intraoperative use of remifentanil and postoperative demand of rescue analgesics in PACU were recorded. The postoperative verbal numerical rating scale (VNRS) was evaluated at 20, 30, and 60 min, and 6, 12, and 24 hr. Postoperative complications, including pneumoperitoneum, bleeding, infection, and sleep disturbance, were also checked. RESULTS: The intraoperative use of remifentanil, postoperative VNRS and the postoperative demand of rescue analgesics were lower in the groups receiving the US-TAP block (Group B(0.25) and Group B(0.5)) than Group Control. There were no statistically or clinically significant differences between Group B(0.25) and Group B(0.5). No complications related to the US-TAP block were observed. CONCLUSIONS: The US-TAP block with 0.25% or 0.5% levobupivacaine 30 ml (15 ml on each side) significantly reduced postoperative pain in patients undergoing laparoscopic cholecystectomy. The Korean Society of Anesthesiologists 2010-04 2010-04-28 /pmc/articles/PMC2876857/ /pubmed/20508793 http://dx.doi.org/10.4097/kjae.2010.58.4.362 Text en Copyright © The Korean Society of Anesthesiologists, 2010 http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Research Article
Ra, Yoon Suk
Kim, Chi Hyo
Lee, Guie Yong
Han, Jong In
The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy
title The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy
title_full The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy
title_fullStr The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy
title_full_unstemmed The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy
title_short The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy
title_sort analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy
topic Clinical Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2876857/
https://www.ncbi.nlm.nih.gov/pubmed/20508793
http://dx.doi.org/10.4097/kjae.2010.58.4.362
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