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Ultrasound-guided subcostal-posterior transversus abdominis plane block for pain control following laparoscopic sleeve gastrectomy

OBJECTIVES: To investigate the analgesic effect of a subcostal-posterior transversus abdominis plane (TAP) block combination following laparoscopic sleeve gastrectomy. METHODS: This study was conducted at Fatih Sultan Mehmet Educational and Research Hospital, Istanbul, Turkey, between March 2014 and...

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Autores principales: Arı, Dilek E., Ar, Arzu Y., Karip, Ceren Ş., Köksal, Ceren, Aydın, Mehmet T., Gazi, Mustafa, Akgün, Fatmanur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Saudi Medical Journal 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787634/
https://www.ncbi.nlm.nih.gov/pubmed/29209672
http://dx.doi.org/10.15537/smj.2017.12.21133
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author Arı, Dilek E.
Ar, Arzu Y.
Karip, Ceren Ş.
Köksal, Ceren
Aydın, Mehmet T.
Gazi, Mustafa
Akgün, Fatmanur
author_facet Arı, Dilek E.
Ar, Arzu Y.
Karip, Ceren Ş.
Köksal, Ceren
Aydın, Mehmet T.
Gazi, Mustafa
Akgün, Fatmanur
author_sort Arı, Dilek E.
collection PubMed
description OBJECTIVES: To investigate the analgesic effect of a subcostal-posterior transversus abdominis plane (TAP) block combination following laparoscopic sleeve gastrectomy. METHODS: This study was conducted at Fatih Sultan Mehmet Educational and Research Hospital, Istanbul, Turkey, between March 2014 and June 2015. A total of 40 patients with a body mass index of 40-60 kg/m(2) scheduled for laparoscopic sleeve gastrectomy were randomly allocated into 2 groups. Patients in Group I (n=20) received a bilateral subcostal TAP block, and patients in Group II (n=20) received a bilateral subcostal and posterior TAP block. Pain intensity was assessed at rest and during coughing using the visual analog scale (VAS) prior to and at various time points after TAP block (0 min, 30 min, 2 hours, 4 hours, 6 hours, 12 hours, and 24 hours). Morphine consumption over 24 hours and time to first morphine requirement were recorded. RESULTS: There was no difference in VAS scores between groups. Morphine consumption was 6.78±5.95 mg in Group I, and 7.28±5.95 mg in Group II (p=0.795). Time to first morphine requirement was 267.22±303.84 min for Group I, and 207.80±209.81 min for Group II (p=0.154). CONCLUSIONS: Subcostal-posterior TAP block provided equivalent analgesia to subcostal TAP block alone following laparoscopic sleeve gastrectomy.
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spelling pubmed-57876342018-02-06 Ultrasound-guided subcostal-posterior transversus abdominis plane block for pain control following laparoscopic sleeve gastrectomy Arı, Dilek E. Ar, Arzu Y. Karip, Ceren Ş. Köksal, Ceren Aydın, Mehmet T. Gazi, Mustafa Akgün, Fatmanur Saudi Med J Original Article OBJECTIVES: To investigate the analgesic effect of a subcostal-posterior transversus abdominis plane (TAP) block combination following laparoscopic sleeve gastrectomy. METHODS: This study was conducted at Fatih Sultan Mehmet Educational and Research Hospital, Istanbul, Turkey, between March 2014 and June 2015. A total of 40 patients with a body mass index of 40-60 kg/m(2) scheduled for laparoscopic sleeve gastrectomy were randomly allocated into 2 groups. Patients in Group I (n=20) received a bilateral subcostal TAP block, and patients in Group II (n=20) received a bilateral subcostal and posterior TAP block. Pain intensity was assessed at rest and during coughing using the visual analog scale (VAS) prior to and at various time points after TAP block (0 min, 30 min, 2 hours, 4 hours, 6 hours, 12 hours, and 24 hours). Morphine consumption over 24 hours and time to first morphine requirement were recorded. RESULTS: There was no difference in VAS scores between groups. Morphine consumption was 6.78±5.95 mg in Group I, and 7.28±5.95 mg in Group II (p=0.795). Time to first morphine requirement was 267.22±303.84 min for Group I, and 207.80±209.81 min for Group II (p=0.154). CONCLUSIONS: Subcostal-posterior TAP block provided equivalent analgesia to subcostal TAP block alone following laparoscopic sleeve gastrectomy. Saudi Medical Journal 2017-12 /pmc/articles/PMC5787634/ /pubmed/29209672 http://dx.doi.org/10.15537/smj.2017.12.21133 Text en Copyright: © Saudi Medical Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Arı, Dilek E.
Ar, Arzu Y.
Karip, Ceren Ş.
Köksal, Ceren
Aydın, Mehmet T.
Gazi, Mustafa
Akgün, Fatmanur
Ultrasound-guided subcostal-posterior transversus abdominis plane block for pain control following laparoscopic sleeve gastrectomy
title Ultrasound-guided subcostal-posterior transversus abdominis plane block for pain control following laparoscopic sleeve gastrectomy
title_full Ultrasound-guided subcostal-posterior transversus abdominis plane block for pain control following laparoscopic sleeve gastrectomy
title_fullStr Ultrasound-guided subcostal-posterior transversus abdominis plane block for pain control following laparoscopic sleeve gastrectomy
title_full_unstemmed Ultrasound-guided subcostal-posterior transversus abdominis plane block for pain control following laparoscopic sleeve gastrectomy
title_short Ultrasound-guided subcostal-posterior transversus abdominis plane block for pain control following laparoscopic sleeve gastrectomy
title_sort ultrasound-guided subcostal-posterior transversus abdominis plane block for pain control following laparoscopic sleeve gastrectomy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787634/
https://www.ncbi.nlm.nih.gov/pubmed/29209672
http://dx.doi.org/10.15537/smj.2017.12.21133
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