Transversus Abdominis Plane Block Does Not Provide Additional Benefit to Multimodal Analgesia in Gynecological Cancer Surgery

2010 ◽  
Vol 111 (3) ◽  
pp. 797-801 ◽  
Author(s):  
James D. Griffiths ◽  
Justine V. Middle ◽  
Fiona A. Barron ◽  
Sarah J. Grant ◽  
Phillip A. Popham ◽  
...  
Keyword(s):  
Gynecological Cancer ◽  
Multimodal Analgesia ◽  
Transversus Abdominis Plane Block ◽  
Additional Benefit ◽  
Cancer Surgery ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane

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 Combination of Transversus abdominis plane block and Serratus plane block anesthesia in dogs submitted to masctetomy

2018 ◽  
Vol 38 (2) ◽  
pp. 315-319 ◽  
Author(s):  
Luciana G. Teixeira ◽  
Diego M. Pujol ◽  
Aline F. Pazzim ◽  
Renata P. Souza ◽  
Leandro Fadel
Keyword(s):  
Arterial Pressure ◽  
Multimodal Analgesia ◽  
Pain Scale ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Tap Block ◽  
Transversus Abdominis Plane ◽  
Rescue Analgesia ◽  
Colorado State University ◽  
Recovery From Anesthesia

ABSTRACT: This paper pretends to demonstrate the effect of the combination of transversus abdominis plane block (TAP block) and Serratus plane block (SP block) techniques in analgesia of 4 dogs undergoing total unilateral mastectomy. Dogs were premedicated with methadone (0.5mg.kg-1) intramuscularly. Anesthesia was induced with propofol (6mg.kg-1) and midazolam (0.3mg.kg-1) and maintained with isoflurane. SP and TAP block were performed unilaterally using ultrasound by the injection of bupivacaine 0.25% (0.3mL kg-1) diluted with NaCl solution 1:1. Heart rate (HR), respiratory rate (f), non-invasive arterial pressure, esophageal temperature (T), oxygen saturation (SpO2) and electrocardiogram were monitored continuously. Animals were monitored for two and four hours after extubation for pain by using the Canine Acute Pain Scale from Colorado State University. Two hours after extubation, tramadol (4mg.kg-1) and dipyrone (25mg.kg-1) was administered to all dogs. It was not observed any alteration on cardiac rhythm. HR, f, T and mean arterial pressure remained below the preincisional values for all dogs. No dog required intraoperative rescue analgesia. Recovery from anesthesia was without any complication. All animals scored 0 (0/5) at pain scale, two and four hours after extubation and none of them expressed concern over the surgical wound. Dogs were able to walk before two hours after extubation. The combination of both techniques is effective in anesthetic blocking the thoracic and abdominal walls and it is suggested both may be included in the multimodal analgesia protocols for this type of surgery.

The Analgesic Efficacy of Postoperative Bilateral, Ultrasound-Guided, Posterior Transversus Abdominis Plane Block for Laparoscopic Colorectal Cancer Surgery: A Randomized, Prospective, Controlled Study

2020 ◽  
Author(s):  
Yang Zhao ◽  
Han-Ying Zhang ◽  
Zong-Yi Yuan ◽  
Yi Han ◽  
Yi-Rong Chen ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Rating Scale ◽  
Transversus Abdominis Plane Block ◽  
Cancer Surgery ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane ◽  
Ultrasound Guided ◽  
Colorectal Cancer Surgery ◽  
Pain Scores ◽  
Group Control

Abstract Background: The study aimed to observe whether a postoperative bilateral, ultrasound-guided, posterior transversus abdominis plane block offers more benefits than placebo in patients undergoing elective laparoscopic colorectal cancer surgery in the enhanced recovery after surgery program.Methods: Patients scheduled to undergo elective laparoscopic surgery following the diagnosis of colorectal cancer were included in this study and randomized into Group TAP and Group Control. The patients received a postoperative bilateral, ultrasound-guided, posterior transversus abdominis plane block either 20 mL of 0.5% ropivacaine (Group TAP) per side or an equivalent volume of normal saline (Group Control). The primary outcome was the cumulative consumption of rescue tramadol within 24 h after the surgery. Secondary endpoints included numerical rating scale (NRS) pain scores at rest and movement at 2, 4, 6, 12, 24, 36, 48, and 72 h. The related side effects, time to the first request for rescue tramadol, patient satisfaction on postoperative analgesia, time to the intestinal function return, time to mobilization, and the length of hospital stay were recorded.Results: In total, 92 patients were randomized, and 82 completed the trial. The posterior TAP block reduced numeric rating scale pain scores at rest and movement at 2, 4, 6, 12, and 24 h after surgery but showed similar scores at 48 or 72 h. The total rescue tramadol requirement within the first 24 h reduced in Group TAP. A higher level of satisfaction with postoperative analgesia was observed in Group TAP on day 1 which was similar on days 2 and 3, compared with the Group Control. There were no complications due to the TAP block. A few incidences of opioids related side effects and a lower percentage of patients needing rescue tramadol analgesia within 24 h were observed in Group TAP. The time to the first request for rescue analgesia was prolonged, and the time to mobilization and flatus was reduced with a shorter hospital stay in Group TAP.Conclusions: A postoperative bilateral, ultrasound-guided, posterior transversus abdominis plane block resulted in better pain relief and a faster recovery in patients undergoing laparoscopic colorectal cancer surgery, without adverse effects. Trial registration: The study was registered at http://www.chictr.org.cn (ChiCTR-IPR-17012650，12, Sep 2017).

scholarly journals Transversus Abdominis Plane Block sebagai Analgesia Post-operatif pada Pasien Sectio Caesarea dengan Stenosis Mitral Berat

2020 ◽  
Vol 1 (2) ◽  
pp. 72-77
Author(s):  
Eko Nofiyanto ◽  
◽  
Ristiawan Muji Laksono ◽  
Isngadi Isngadi ◽  
◽  
...  
Keyword(s):  
Ejection Fraction ◽  
High Probability ◽  
Multimodal Analgesia ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Sectio Caesarea ◽  
Transversus Abdominis Plane

Latar belakang: Pasien pasca seksio sesarea dapat mengalami nyeri postoperatif dengan rerata skor nyeri 4,7 (skala 10). Komplikasi nyeri postoperatif pada pasien dengan komorbid kardiak dapat mengakibatkan disfungsi organ kardiopulmoner. Transversus abdominis plane block (TAP blok) sebagai blok saraf perifer memberikan analgesia pada dinding abdomen anterior. Studi kasus ini bertujuan untuk mengetahui skala nyeri post operatif, waktu mobilisasi dan lama hari rawat inap serta komplikasi kardiak post operatif pada pasien seksio sesarea dengan komorbid kardiak stenosis mitral berat yang diberikan TAP blok sebagai bagian multimodal analgesia Kasus: Pasien perempuan 31 tahun, kehamilan ke 2, usia kehamilan 34-36 minggu dengan Pre eklampsia berat, stenosis mitral berat, regurgitasi mitral ringan, regurgitasi trikuspid sedang,regurgitasi pulmonal ringan, ejection fraction (EF) 79,11%, hipertensi pulmonal high probability, Gagal jantung stadium B fungsional II. Menjalani tindakan seksio sesarea, dengan regional anestesi Sub Arachnoid Block. Setelah operasi dilakukan TAP blok bilateral dipandu ultrasound dengan regimen Ropivacaine 0,25% total volume 30 cc. Monitoring hemodinamik post operatif dilakukan di ruang rawat intensif. Pasien diamati skala nyeri selama dirawat, waktu mobilisasi dan lama hari rawat inap. Dari hasil pengamatan didapatkan hemodinamik stabil, skala nyeri 0-1 selama di rawat tanpa tambahan analgesia opioid, mobilisasi aktif dimulai hari ke 2, dan lama rawat inap selama 4 hari. Kesimpulan: TAP Blok sebagai bagian dari multimodal analgesia memberikan analgesia yang aman dan efektif pada pasien seksio sesarea dengan komorbid kardiak stenosis mitral berat, mencegah komplikasi kardiak, menurunkan penggunaan opioid, mempercepat waktu mobilisasi dan hari rawat inap sama dengan pasien normal.

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