scholarly journals Comparison of analgesic efficacy of subcostal transversus abdominis plane blocks with epidural analgesia following upper abdominal surgery

Anaesthesia ◽  
2011 ◽  
Vol 66 (6) ◽  
pp. 465-471 ◽  
Author(s):  
G. Niraj ◽  
A. Kelkar ◽  
I. Jeyapalan ◽  
P. Graff-Baker ◽  
O. Williams ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Epidural Analgesia ◽  
Analgesic Efficacy ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane ◽  
Upper Abdominal Surgery ◽  
Upper Abdominal

scholarly journals Efficacy of transversus abdominis plane block in pain control after general abdominal surgery – a short review of the literature

2021 ◽  
Vol 67 (3) ◽  
pp. 137-142
Author(s):  
Mihaela Butiulca ◽  
Alexandra Lazăr
Keyword(s):  
Abdominal Surgery ◽  
Analgesic Efficacy ◽  
Short Review ◽  
Multimodal Analgesia ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Review Of The Literature ◽  
Transversus Abdominis Plane ◽  
Reduction Of Pain ◽  
Secondary Outcomes

Abstract Objective: The aim of the study is the assessment of the analgesic efficacy of transversus abdominis plane block in patients undergoing general abdominal surgery. Methods: Pubmed, Scopus, and Medline databases were searched for papers evaluating the effect of transversus abdominis plane block. The primary and secondary outcomes of the studies were analyzed. Results: A total of 10 studies were analyzed, including 717 patients. Studies revealed that transversus abdominis plane block was associated with significantly reduced postoperative discomfort and reduced opioid consumption. Conclusion: The present study shows the clear benefit brought by the transversus abdominis plane block as part of multimodal analgesia, with a significant reduction of pain and higher comfort scores.

scholarly journals Comparison of analgesic efficacy of continuous transversus abdominis plane block with continuous epidural analgesia in patients undergoing abdominal surgery: a systematic review and meta-analysis

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052092269
Author(s):  
Xiangbo Liu ◽  
Cehua Ou ◽  
Fei Peng ◽  
Guo Mu
Keyword(s):  
Postoperative Pain ◽  
Abdominal Surgery ◽  
Epidural Analgesia ◽  
Meta Analysis ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Chinese Patients ◽  
Transversus Abdominis Plane ◽  
Novel Technique ◽  
Continuous Epidural Analgesia

Background A novel technique of continuous transversus abdominis plane block (TAPB) has been reported to be beneficial to patients undergoing abdominal surgery because it can significantly relieve postoperative pain. The aim of our study is to compare this novel technique with a traditional technique of continuous epidural analgesia (EA). Methods We conducted our meta-analysis in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Only randomized controlled trials (RCTs) that compared the efficacy of continuous TAPB and continuous EA to relieve postoperative pain were included. Patients were classified by nationality (Chinese, non-Chinese) for the subgroup analysis. Results Nine RCTs with 598 patients were included in our study. Pain levels measured by visual analog scale (VAS) scores at rest on postoperative day 1 were equivalent for continuous TAPB groups and continuous EA groups in non-Chinese and Chinese patients. The TAPB groups experienced a lower rate of hypotension, sensorimotor disorder, and nausea compared with the continuous EA group within 48 hours after surgery. Conclusion Continuous TAPB and continuous EA are equally effective in relieving postoperative pain at rest 24 hours after surgery, but EA was associated with more side effects such as hypotension, nausea, and sensorimotor disorder.

TECHNIQUE CHARACTERISTICS OF THORACIC EPIDURAL ANALGESIA FOLLOWING ABDOMINAL SURGERY

2017 ◽  
pp. 73-77
Author(s):  
Van Minh Nguyen
Keyword(s):  
Abdominal Surgery ◽  
Epidural Analgesia ◽  
Success Rate ◽  
Epidural Space ◽  
Needle Insertion ◽  
Thoracic Epidural Analgesia ◽  
Epidural Catheter Placement ◽  
Thoracic Epidural ◽  
Upper Abdominal Surgery ◽  
Upper Abdominal

Objective: To describe the technical characteristics of thoracic epidural analgesia after upper abdominal surgery. Subjects and methods: A prospective descriptive study, 50 patients aged 18 years or older, with ASA I - III, indicated upper abdominal surgery had epidural catheter placement at the thoracic interspinal space of T7 - T8 or T8 - T9. The epidural space was determined by loss of resistance technique. Failure to define the epidural space, perforation of the dura, median or paramedian line of needle insertion, distance from the skin to the epidural space, displacement or catheter occlusion during analgesia were recorded. Results: Success rate was 98%, the epidural space were not identified in 2%, perforation of the dura in 4%. Needle insertion via median line was in 80.9% and paramedian one in 19.1%. The distance from the skin to epidural space of 4 to 5 cm, 3-4 cm and over 5 cm was 58%, 24.5% and 18.4%, respectively. Catheter was clogged immediately after placement when performing dose test was 2.04%, dislodgement of catheter when transporting patients from the operating to the recovery room and occlusion on the second day was 2.04%. Conclusion: Catheter insertion in analgesia following upper abdominal surgery has a high success rate, when the median technique of needle insertion failed, the paramedian was an alternative. Care for the catheter must be taken during pain management. Key words: Technical characteristics, thoracic epidural analgesia

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