scholarly journals COMPARTIVE STUDY BETWEEN EPIDURAL ANALGESIA AND BILATERAL TRANSVERSUS ABDOMINIS PLANE BLOCK FOR POSTOPERATIVE PAIN RELIEF IN PATIENTS UNDERGOING CESAREAN DELIVERIES

2021 ◽  
Vol 50 (3) ◽  
pp. 2261-2270
Author(s):  
Abd Allah Ibrahim Ahmed Hassan El-Malla ◽  
Gamal lotfy Abd El-Rahman Gad ◽  
Badr Ismail Fadl-Allah El-far
Keyword(s):  
Postoperative Pain ◽  
Pain Relief ◽  
Epidural Analgesia ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Postoperative Pain Relief ◽  
Transversus Abdominis Plane ◽  
Cesarean Deliveries

Efficacy of surgical transversus abdominis plane block for postoperative pain relief following abdominal surgery in pediatric patients

2015 ◽  
Vol 25 (6) ◽  
pp. 614-620 ◽  
Author(s):  
Saowaphak Lapmahapaisan ◽  
Niramol Tantemsapya ◽  
Naiyana Aroonpruksakul ◽  
Wiriya Maisat ◽  
Suwannee Suraseranivongse
Keyword(s):  
Postoperative Pain ◽  
Pain Relief ◽  
Abdominal Surgery ◽  
Pediatric Patients ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Postoperative Pain Relief ◽  
Transversus Abdominis Plane

COMPARING THE POST-OPERATIVE ANALGESIA USING ROPIVACAINE IN LAPAROSCOPIC CHOLECYSTECTOMY BY THREE DIFFERENT METHODS-A COMPARATIVE STUDY

2021 ◽  
pp. 16-19
Author(s):  
Nimta Kishore ◽  
Trilok Chand ◽  
Narendra Singh Poniya ◽  
Arpita Saxena
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Pain ◽  
Pain Relief ◽  
Transversus Abdominis Plane Block ◽  
Port Site ◽  
Transversus Abdominis ◽  
Postoperative Pain Relief ◽  
Tap Block ◽  
Transversus Abdominis Plane ◽  
Intraperitoneal Instillation

Introduction: Laparoscopic cholecystectomy is a minimally invasive surgical procedure for cholecystectomy. In present time local anesthesia is widely used as analgesic by various routes including port site intraincisional inlteration, transverse abdominis plane (TAP) block and intraperitoneal instillation. Aim: Comparing The Post-Operative Analgesia Using Ropivacaine in Laparoscopic Cholecystectomy by three Different Methods ; Intraperitoneal instillation, USG-guided subcostal transversus abdominis plane block and Incisional inltration at port site. Materials and methods: This study was conducted among elective general surgical patient undergoing laparoscopic cholecystectomy in S.N. Medical College, Agra and completed in the study period of 18 months. Study population was elective surgical patients posted for elective laparoscopic cholecystectomy. Patients were divided in to 3 groups: Group A- Intraperitoneal instillation, Groups B- ultrasound guided subcostal transversus abdominis plane block and Groups C- intraincisional inlteration at port site. Results: Intraincisional inltration of ropivacaine provide signicant Postoperative pain relief in comparative to USG -guided subcostal TAP block and intraperitoneal instillation with ropivacaine. Conclusion: Intraincisional inltration of ropivacaine provide signicant Postoperative pain relief and decrease post operative analgesia requirement in comparative to USG -guided subcostal TAP block and intraperitoneal instillation with ropivacaine. Shoulder tip pain incidence, postoperative nausea and vomiting incidence lower in intraincisional inltration of ropivacaine.

scholarly journals Combined subcostal and posterior transversus abdominis plane block for postoperative pain relief after abdominoplasty

2021 ◽  
Author(s):  
Haytham El Sayed ◽  
A Shaheed Fadhul ◽  
Mohamed Al Falalki ◽  
M Nasr Awad
Keyword(s):  
Postoperative Pain ◽  
Pain Relief ◽  
Aesthetic Surgery ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Postoperative Pain Relief ◽  
Secondary Outcome ◽  
Anesthetic Technique ◽  
Transversus Abdominis Plane ◽  
Analgesic Regimen

Abstract Background: Abdominoplasty is a common aesthetic surgery. Adequate pain management during the postoperative period is of great importance. This research aims to investigate the outcome of the abdominoplasty operation for the patients who have received transversus abdominis plan block in comparison with the non-blocked patients.Methods: 58 patients, undergoing elective abdominoplasty, patients were randomly assigned to two equal groups of 29 patients each. Combined subcostal and posterior transversus abdominis plane block group and non-blocked group. For both groups, the standard postoperative analgesic regimen consisted of IV Paracetamol 1 g every 6 hours. Values of visual analog scale (VAS) were recorded postoperatively, once the patient had a VAS ≥ 4, IV opioids administered. The primary outcome was opioids consumption in the first 72 hours postoperatively, the secondary outcome was the value of VAS at rest and movement (or with knee flexion) in the first 72 hours postoperatively, time to first ambulation and time to first incentive spirometer 900 ml/min were recorded.Results: Pethidine consumption in the first 72 hours was 208.62±85.64 in the non-blocked group and 20.69±25.06 in the blocked group (p < 0.05). VAS was lower in the blocked group during the first 72 hours either during rest or movement where (p < 0.05). Time to first ambulation was 12.41±5.04 hours in the non-blocked group and 4.62±1.08 hours in the blocked group (p < 0.05), time to first incentive spirometer 900 ml/min was 11.45±5.05 hours in the non-blocked group and 4.27±1.09 hours in the blocked group (p < 0.05).Conclusion: Combined subcostal and posterior transversus abdominis plane block is a promising regional anesthetic technique for postoperative pain relief in abdominoplasty surgery, it offers a longer postoperative analgesic effect duration and fewer analgesic requirements with less postoperative complications.Trial Registration Clinical Trial: TCTR20200602001 “Retrospectively registered” Date of registration on May 30, 2020

scholarly journals Combined subcostal and posterior transversus abdominis plane block for postoperative pain relief after abdominoplasty

2020 ◽  
Author(s):  
Haytham El Sayed ◽  
A Shaheed Fadhul ◽  
Mohamed Al Falalki ◽  
M Nasr Awad
Keyword(s):  
Postoperative Pain ◽  
Pain Relief ◽  
Visual Analog Scale ◽  
Ventilatory Support ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Postoperative Pain Relief ◽  
Secondary Outcome ◽  
Transversus Abdominis Plane ◽  
Analog Scale

Abstract Background: Abdominoplasty is a common aesthetic surgery. Adequate pain management during the postoperative period is of great importance. Previous studies have failed to achieve safe and reliable effective analgesic techniques beyond the recovery room. This research aims to investigate the outcome of the abdominoplasty operation for the patients' received transversus abdominis plan block in comparison with the non-blocked patients.Methods: 58 patients, undergoing elective abdominoplasty, received general anesthesia. Patients were randomly assigned to two equal groups of 29 patients each. Combined subcostal and posterior transversus abdominis plane block group and non-blocked group. For both groups, the standard postoperative analgesic regimen consisted of IV Paracetamol 1 g every 6 hours. Values of visual analog scale values were recorded postoperatively, once the patient had a visual analog scale ≥ 4, IV opioids administered and visual analog scale recorded every 30 min till pain improved. The primary outcome was opioids consumption in the first 72 hours postoperatively, the secondary outcome was the value of visual analog scale at rest and movement (or with knee flexion) in the first 72 hours postoperatively, time to first ambulation, time to first incentive spirometer 900 ml/min were recorded and also the incidence of postoperatively mechanical ventilatory support (CPAP) requirements.Results: Morphine consumption in the first 72 hours was 6.97±1.97 in the non-blocked group and 4.38±2.04 in the blocked group (p < 0.05). Pethidine consumption in the first 72 hours was 208.62±85.64 in the non-blocked group and 20.69±25.06 in the blocked group (p < 0.05). VAS was lower in the blocked group during the first 72 hours were (p < 0.05). Time to first ambulation was 12.41±5.04 hours in the non-blocked group and 4.62±1.08 hours in the blocked group (p < 0.05), time to first incentive spirometer 900 ml/min was 11.45±5.05 hours in the non-blocked group and 4.27±1.09 hours in the blocked group (p < 0.05).Conclusion: Combined subcostal and posterior transversus abdominis plane block is a promising regional anesthetic technique for postoperative pain relief in abdominoplasty surgery, it offers a longer postoperative analgesic effect duration and fewer analgesic requirements with less postoperative complications.

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