The use of bilateral continuous erector spinae plane blocks for postoperative analgesia after right‐sided living donor hepatectomy: A feasibility study

2021 ◽  
Author(s):  
Dieter Adelmann ◽  
Mina Khorashadi ◽  
George Zhou ◽  
Sakura Kinjo ◽  
Hillary J. Braun ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Postoperative Analgesia ◽  
Living Donor ◽  
Erector Spinae ◽  
Donor Hepatectomy ◽  
Living Donor Hepatectomy

Bilateral single-injection erector spinae plane block versus intrathecal morphine for postoperative analgesia in living donor laparoscopic hepatectomy: a randomized non-inferiority trial

2019 ◽  
pp. rapm-2019-100902 ◽  
Author(s):  
RyungA Kang ◽  
Ki Jinn Chin ◽  
Mi Sook Gwak ◽  
Gaab Soo Kim ◽  
Soo Joo Choi ◽  
...  
Keyword(s):  
Postoperative Analgesia ◽  
Living Donor ◽  
Primary Outcome ◽  
Single Injection ◽  
Intrathecal Morphine ◽  
Erector Spinae ◽  
Postoperative Vomiting ◽  
Donor Hepatectomy ◽  
Pain Scores ◽  
Living Donor Hepatectomy

BackgroundIntrathecal morphine (ITM) provides effective postoperative analgesia in living donor hepatectomy but has significant adverse effects. Studies support the efficacy of erector spinae plane (ESP) blocks in laparoscopic abdominal surgery; we therefore hypothesized that they would provide non-inferior postoperative analgesia compared with ITM and reduce postoperative nausea/vomiting and pruritus. We conducted a randomized, controlled, non-inferiority trial to compare the analgesic efficacy of ITM and bilateral single-injection ESP blocks in laparoscopic donor hepatectomy.MethodsFifty-four donors were randomized to receive bilateral ESP blocks with 20 mL 0.5% ropivacaine (n=27) or 400 µg ITM (n=27). Primary outcome was resting pain score 24 hours postoperatively measured on an 11-point numeric rating scale. The prespecified non-inferiority limit was 1. Incidences of postoperative nausea/vomiting and pruritus were assessed.ResultsThe mean treatment difference (ESP–ITM) in the primary outcome was 1.2 (95% CI 0.7 to 1.8). The 95% CI upper limit exceeded the non-inferiority limit. Opioid consumption and all other pain measurements were similar between groups up to 72 hours postoperatively. The ESP group had significantly lower incidences of postoperative vomiting (p=0.002) and pruritus (p<0.001).ConclusionsBilateral single-injection ESP blocks resulted in higher resting pain scores 24 hours postoperatively compared with ITM and thus did not meet the study definition of non-inferiority. However, the pain intensity with ESP blocks was mild (mean pain scores <3/10) and associated with reduced incidence of postoperative vomiting and pruritus. It warrants further investigation as an analgesic option after laparoscopic living donor hepatectomy.Trial registration numberKCT0003191.

scholarly journals Intermittent Boluses of Local Anesthetic Through Quadratus Lumborum Catheters for Analgesia in a Living Donor Hepatectomy

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Shelly B. Borden ◽  
Molly K. Groose ◽  
Eric R. Simon ◽  
Aaron S. Hess ◽  
Kristopher M. Schroeder
Keyword(s):  
United States ◽  
Side Effects ◽  
Postoperative Analgesia ◽  
Living Donor ◽  
The United States ◽  
Liver Transplants ◽  
Donor Hepatectomy ◽  
Opioid Sparing ◽  
Quadratus Lumborum ◽  
Living Donor Hepatectomy

The demand for liver transplants in the United States far exceeds the supply of organs. As need has increased, so has use of living donors. Coagulopathy and various side effects often preclude the use of neuraxial regional techniques and opioids for postoperative analgesia in patients with large “J” incisions. Here, we present a 25-year-old male undergoing a living donor hepatectomy who received quadratus lumborum catheters placed percutaneously after closure of incision and prior to emergence to provide excellent analgesia and a viable opioid-sparing approach. Quadratus lumborum catheters are a safe option for a multimodal, opioid-sparing approach to analgesia.

scholarly journals Adjunctive Dexmedetomidine Infusion in Open Living Donor Hepatectomy: A Way to Enhance Postoperative Analgesia and Recovery

2020 ◽  
Author(s):  
Wei Cheng Tseng ◽  
Wei Lin Lin ◽  
Hou Chuan Lai ◽  
Teng Wei Chen ◽  
Yu Chen Chiu ◽  
...  
Keyword(s):  
Postoperative Analgesia ◽  
Living Donor ◽  
Donor Hepatectomy ◽  
Living Donor Hepatectomy ◽  
Dexmedetomidine Infusion

scholarly journals Adjunctive Dexmedetomidine Infusion in Open Living Donor Hepatectomy: A Way to Enhance Postoperative Analgesia and Recovery

2021 ◽  
Author(s):  
Wei‐Cheng Tseng ◽  
Wei‐Lin Lin ◽  
Hou‐Chuan Lai ◽  
Teng‐Wei Chen ◽  
Yu‐Chen Chiu ◽  
...  
Keyword(s):  
Postoperative Analgesia ◽  
Living Donor ◽  
Donor Hepatectomy ◽  
Living Donor Hepatectomy ◽  
Dexmedetomidine Infusion

scholarly journals Minimally Invasive Living Donor Hepatectomy

2013 ◽  
Vol 1 (1) ◽  
pp. 53-60
Author(s):  
Talia B. Baker ◽  
Felicitas Koller ◽  
Juan Carlos Caicedo
Keyword(s):  
Minimally Invasive ◽  
Living Donor ◽  
Donor Hepatectomy ◽  
Living Donor Hepatectomy

scholarly journals Laparoscopic living donor hepatectomy for Pediatric Liver Transplantation

HPB ◽  
2017 ◽  
Vol 19 ◽  
pp. S113-S114
Author(s):  
M. Uribe ◽  
F. Riquelme ◽  
F. Catan ◽  
S. Uribe ◽  
W. Martinez ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Living Donor ◽  
Pediatric Liver Transplantation ◽  
Donor Hepatectomy ◽  
Pediatric Liver ◽  
Living Donor Hepatectomy

Complications after Living Donor Hepatectomy: Analysis of 176 Cases at a Single Center

2018 ◽  
Vol 227 (1) ◽  
pp. 24-36 ◽  
Author(s):  
Danielle Berglund ◽  
Varvara Kirchner ◽  
Timothy Pruett ◽  
Saumya Mangalick ◽  
Raja Kandaswamy ◽  
...  
Keyword(s):  
Living Donor ◽  
Single Center ◽  
Donor Hepatectomy ◽  
Living Donor Hepatectomy

scholarly journals Comparison of laparoscopic and open living donor hepatectomy

Medicine ◽  
2021 ◽  
Vol 100 (32) ◽  
pp. e26708
Author(s):  
Yuye Gao ◽  
Wu Wu ◽  
Chunyu Liu ◽  
Tao Liu ◽  
Heng Xiao
Keyword(s):  
Living Donor ◽  
Donor Hepatectomy ◽  
Living Donor Hepatectomy

scholarly journals Living donor hepatectomy in female donors with ongoing menstruation: Safety and ethical issues

2017 ◽  
Vol 50 (4) ◽  
pp. 119
Author(s):  
Kin-Shing Poon ◽  
Horng-Ren Yang ◽  
Ashok Thorat ◽  
Chun-Chieh Yeh ◽  
Yi-Ying Chiang ◽  
...  
Keyword(s):  
Living Donor ◽  
Ethical Issues ◽  
Donor Hepatectomy ◽  
Living Donor Hepatectomy
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