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Effect of Transversus Abdominis Plane Block on Cost of Laparoscopic Cholecystectomy Anesthesia
BACKGROUND: Use of transversus abdominis plane (TAP) block for postoperative analgesia is continuously increasing. However, few studies have investigated intraoperative effects of TAP block. We aimed to study the effects of TAP block in terms of cost-effectiveness and consumption of inhalation agent...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4280863/ https://www.ncbi.nlm.nih.gov/pubmed/25534331 http://dx.doi.org/10.12659/MSM.892055 |
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author | Kokulu, Serdar Bakı, Elif Doğan Kaçar, Emre Bal, Ahmet Şenay, Hasan Üstün, Kübra Demir Yılmaz, Sezgin Ela, Yüksel Sıvacı, Remziye Gül |
author_facet | Kokulu, Serdar Bakı, Elif Doğan Kaçar, Emre Bal, Ahmet Şenay, Hasan Üstün, Kübra Demir Yılmaz, Sezgin Ela, Yüksel Sıvacı, Remziye Gül |
author_sort | Kokulu, Serdar |
collection | PubMed |
description | BACKGROUND: Use of transversus abdominis plane (TAP) block for postoperative analgesia is continuously increasing. However, few studies have investigated intraoperative effects of TAP block. We aimed to study the effects of TAP block in terms of cost-effectiveness and consumption of inhalation agents. MATERIAL/METHODS: Forty patients undergoing laparoscopic cholecystectomy were enrolled in this study. Patients were randomly divided into 2 groups: Group 1 (n=20) patients received TAP block and Group 2 (n=20) patients did not receive TAP block. Standard anesthesia induction was used in all patients. For the maintenance of anesthesia, fractional inspired oxygen (FIO2) of 50% in air with desflurane was used with a fresh gas flow of 4 L/min. All patients were monitored with electrocardiography and for peripheral oxygen saturation (SpO2), end-tidal carbon dioxide (ET), heart rate (HR), noninvasive mean blood pressure (MBP), and bispectral index (BIS). Bilateral TAP blocks were performed under ultrasound guidance to Group 1 patients. The BIS value was maintained at between 40 and 50 during the surgery. The Dion formula was used to calculate consumption of desflurane for each patient. RESULTS: There was no difference between the groups with respect to demographic characteristics of the patients. Duration of anesthesia, surgery time, and dosage of fentanyl were similar in the 2 groups. However, the cost and consumption of desflurane was significantly lower in Group 1. CONCLUSIONS: Total anesthesia consumption was lower and the cost-effectiveness of anesthesia was better in TAP block patients with general anesthesia than in non-TAP block patients undergoing laparoscopic cholecystectomy. |
format | Online Article Text |
id | pubmed-4280863 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-42808632015-01-06 Effect of Transversus Abdominis Plane Block on Cost of Laparoscopic Cholecystectomy Anesthesia Kokulu, Serdar Bakı, Elif Doğan Kaçar, Emre Bal, Ahmet Şenay, Hasan Üstün, Kübra Demir Yılmaz, Sezgin Ela, Yüksel Sıvacı, Remziye Gül Med Sci Monit Clinical Research BACKGROUND: Use of transversus abdominis plane (TAP) block for postoperative analgesia is continuously increasing. However, few studies have investigated intraoperative effects of TAP block. We aimed to study the effects of TAP block in terms of cost-effectiveness and consumption of inhalation agents. MATERIAL/METHODS: Forty patients undergoing laparoscopic cholecystectomy were enrolled in this study. Patients were randomly divided into 2 groups: Group 1 (n=20) patients received TAP block and Group 2 (n=20) patients did not receive TAP block. Standard anesthesia induction was used in all patients. For the maintenance of anesthesia, fractional inspired oxygen (FIO2) of 50% in air with desflurane was used with a fresh gas flow of 4 L/min. All patients were monitored with electrocardiography and for peripheral oxygen saturation (SpO2), end-tidal carbon dioxide (ET), heart rate (HR), noninvasive mean blood pressure (MBP), and bispectral index (BIS). Bilateral TAP blocks were performed under ultrasound guidance to Group 1 patients. The BIS value was maintained at between 40 and 50 during the surgery. The Dion formula was used to calculate consumption of desflurane for each patient. RESULTS: There was no difference between the groups with respect to demographic characteristics of the patients. Duration of anesthesia, surgery time, and dosage of fentanyl were similar in the 2 groups. However, the cost and consumption of desflurane was significantly lower in Group 1. CONCLUSIONS: Total anesthesia consumption was lower and the cost-effectiveness of anesthesia was better in TAP block patients with general anesthesia than in non-TAP block patients undergoing laparoscopic cholecystectomy. International Scientific Literature, Inc. 2014-12-23 /pmc/articles/PMC4280863/ /pubmed/25534331 http://dx.doi.org/10.12659/MSM.892055 Text en © Med Sci Monit, 2014 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License |
spellingShingle | Clinical Research Kokulu, Serdar Bakı, Elif Doğan Kaçar, Emre Bal, Ahmet Şenay, Hasan Üstün, Kübra Demir Yılmaz, Sezgin Ela, Yüksel Sıvacı, Remziye Gül Effect of Transversus Abdominis Plane Block on Cost of Laparoscopic Cholecystectomy Anesthesia |
title | Effect of Transversus Abdominis Plane Block on Cost of Laparoscopic Cholecystectomy Anesthesia |
title_full | Effect of Transversus Abdominis Plane Block on Cost of Laparoscopic Cholecystectomy Anesthesia |
title_fullStr | Effect of Transversus Abdominis Plane Block on Cost of Laparoscopic Cholecystectomy Anesthesia |
title_full_unstemmed | Effect of Transversus Abdominis Plane Block on Cost of Laparoscopic Cholecystectomy Anesthesia |
title_short | Effect of Transversus Abdominis Plane Block on Cost of Laparoscopic Cholecystectomy Anesthesia |
title_sort | effect of transversus abdominis plane block on cost of laparoscopic cholecystectomy anesthesia |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4280863/ https://www.ncbi.nlm.nih.gov/pubmed/25534331 http://dx.doi.org/10.12659/MSM.892055 |
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