Effect of Ultrasound-guided Transversus Abdominis Plane Block for Analgesia after Laparoscopic Cholecystectomy
Background and purpose: Transversus abdominal plane block is used in management of pain in patients undergoing abdominal surgery. This study aimed at investigating the effect of ultrasound-guided transversus abdominis plane block on postoperative pain control in patients undergoing laparoscopic chol...
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| Format: | Article |
| Language: | English |
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Mazandaran University of Medical Sciences
2021-10-01
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| Series: | Journal of Mazandaran University of Medical Sciences |
| Subjects: | |
| Online Access: | http://jmums.mazums.ac.ir/article-1-16235-en.html |
| _version_ | 1797943897837535232 |
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| author | Saeed Jalili Mehdi Ghaemi Seyede Fatemeh Gheiasi Mohammad Deilami |
| author_facet | Saeed Jalili Mehdi Ghaemi Seyede Fatemeh Gheiasi Mohammad Deilami |
| author_sort | Saeed Jalili |
| collection | DOAJ |
| description | Background and purpose: Transversus abdominal plane block is used in management of pain in patients undergoing abdominal surgery. This study aimed at investigating the effect of ultrasound-guided transversus abdominis plane block on postoperative pain control in patients undergoing laparoscopic cholecystectomy.
Materials and methods: This double-blind randomized clinical trial was performed in 60 patients undergoing laparoscopic cholecystectomy. General anesthesia was induced in all patients. At the end of the operation, a subcostal transverse abdominis plane (SCTAP) block was performed in the intervention group, while the control group received no intervention. In all samples, pain intensity based on Visual Analogue Scale (VAS) and the dose of opioid and anti-emetics drugs were assessed at recovery, 2, 4, 8, 12, and 24 hours after the surgery. Data analysis was performed in SPSS 24 applying independent t-test and chi-square.
Results: The number of patients with VAS<4 was significantly higher in intervention group compared with the control group at recovery (96.4%), 2 (96.4%), 4 (89.2%), and 8 (57.1%) hours after the surgery (P<0.05), but, data showed no significant difference between the intervention group and control group at 12 and 24 hours after surgery (P>0.05). Findings showed significant differences in mean opioid administration during 8 (4.4 ± 11.9) and 24 hours (38.3 ± 21) after surgery between the intervention group and the control group (P<0.001). The mean use of metoclopramide was not found to be significantly different between the two groups at 8 and 24 hours after surgery (P> 0.05).
Conclusion: Current study showed that ultrasound-guided SCTAP block could reduce postoperative pain and opioid administration after laparoscopic cholecystectomy.
(Clinical Trials Registry Number: IRCT20180325039148N1) |
| first_indexed | 2024-04-10T20:31:23Z |
| format | Article |
| id | doaj.art-0e9033ed67ac4d34959dc09dbdca389c |
| institution | Directory Open Access Journal |
| issn | 1735-9260 1735-9279 |
| language | English |
| last_indexed | 2024-04-10T20:31:23Z |
| publishDate | 2021-10-01 |
| publisher | Mazandaran University of Medical Sciences |
| record_format | Article |
| series | Journal of Mazandaran University of Medical Sciences |
| spelling | doaj.art-0e9033ed67ac4d34959dc09dbdca389c2023-01-25T06:07:30ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792021-10-0131201142149Effect of Ultrasound-guided Transversus Abdominis Plane Block for Analgesia after Laparoscopic CholecystectomySaeed Jalili0Mehdi Ghaemi1Seyede Fatemeh Gheiasi2Mohammad Deilami3 Assistant Professor, Department of Anaesthesiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran Associate Professor, Department of Anaesthesiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran PhD Candidate in Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran Anesthesiologist, Zanjan University of Medical Sciences, Zanjan, Iran Background and purpose: Transversus abdominal plane block is used in management of pain in patients undergoing abdominal surgery. This study aimed at investigating the effect of ultrasound-guided transversus abdominis plane block on postoperative pain control in patients undergoing laparoscopic cholecystectomy. Materials and methods: This double-blind randomized clinical trial was performed in 60 patients undergoing laparoscopic cholecystectomy. General anesthesia was induced in all patients. At the end of the operation, a subcostal transverse abdominis plane (SCTAP) block was performed in the intervention group, while the control group received no intervention. In all samples, pain intensity based on Visual Analogue Scale (VAS) and the dose of opioid and anti-emetics drugs were assessed at recovery, 2, 4, 8, 12, and 24 hours after the surgery. Data analysis was performed in SPSS 24 applying independent t-test and chi-square. Results: The number of patients with VAS<4 was significantly higher in intervention group compared with the control group at recovery (96.4%), 2 (96.4%), 4 (89.2%), and 8 (57.1%) hours after the surgery (P<0.05), but, data showed no significant difference between the intervention group and control group at 12 and 24 hours after surgery (P>0.05). Findings showed significant differences in mean opioid administration during 8 (4.4 ± 11.9) and 24 hours (38.3 ± 21) after surgery between the intervention group and the control group (P<0.001). The mean use of metoclopramide was not found to be significantly different between the two groups at 8 and 24 hours after surgery (P> 0.05). Conclusion: Current study showed that ultrasound-guided SCTAP block could reduce postoperative pain and opioid administration after laparoscopic cholecystectomy. (Clinical Trials Registry Number: IRCT20180325039148N1)http://jmums.mazums.ac.ir/article-1-16235-en.htmllaparoscopic cholecystectomytransversus abdominis plane blockultrasonographyanalgesia |
| spellingShingle | Saeed Jalili Mehdi Ghaemi Seyede Fatemeh Gheiasi Mohammad Deilami Effect of Ultrasound-guided Transversus Abdominis Plane Block for Analgesia after Laparoscopic Cholecystectomy Journal of Mazandaran University of Medical Sciences laparoscopic cholecystectomy transversus abdominis plane block ultrasonography analgesia |
| title | Effect of Ultrasound-guided Transversus Abdominis Plane Block for Analgesia after Laparoscopic Cholecystectomy |
| title_full | Effect of Ultrasound-guided Transversus Abdominis Plane Block for Analgesia after Laparoscopic Cholecystectomy |
| title_fullStr | Effect of Ultrasound-guided Transversus Abdominis Plane Block for Analgesia after Laparoscopic Cholecystectomy |
| title_full_unstemmed | Effect of Ultrasound-guided Transversus Abdominis Plane Block for Analgesia after Laparoscopic Cholecystectomy |
| title_short | Effect of Ultrasound-guided Transversus Abdominis Plane Block for Analgesia after Laparoscopic Cholecystectomy |
| title_sort | effect of ultrasound guided transversus abdominis plane block for analgesia after laparoscopic cholecystectomy |
| topic | laparoscopic cholecystectomy transversus abdominis plane block ultrasonography analgesia |
| url | http://jmums.mazums.ac.ir/article-1-16235-en.html |
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