Transversus abdominis plane block supplementation during iliac crest bone graft harvesting – Effect on postoperative pain
Background and Aims: Transversus abdominis plane (TAP) block is a technique proposed to minimise pain after anterior iliac crest bone harvesting. This study aims to evaluate the postoperative pain in patients who receive ultrasound-guided TAP block to supplement routine wound infiltration. Material...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2018;volume=34;issue=4;spage=472;epage=477;aulast=Shenoy |
| _version_ | 1819200274520080384 |
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| author | Usha Shenoy Vigil Peter Philip Mathew Tom Thomas |
| author_facet | Usha Shenoy Vigil Peter Philip Mathew Tom Thomas |
| author_sort | Usha Shenoy |
| collection | DOAJ |
| description | Background and Aims: Transversus abdominis plane (TAP) block is a technique proposed to minimise pain after anterior iliac crest bone harvesting. This study aims to evaluate the postoperative pain in patients who receive ultrasound-guided TAP block to supplement routine wound infiltration.
Material and Methods: A total of 143 patients aged between 6 and 22 years were randomised into two groups. Patients in group A received supplemental TAP block on the same side. Patients in group B received local anesthetic wound infiltration alone. Pain scores were compared at the first and 24th postoperative hours.
Results: TAP block significantly reduced pain and delirium in the immediate postoperative period. The mean FLACC (Face, Legs, Activity, Cry, Consolability) score after 10 min was 0.8 in group A versus 1.8 in group B (P = 0.001). The mean Watcha scale at 10 min was 1.0 in group A versus 1.2 in group B (P = 0.001). After 24 h, 81.7% of patients in group A had no pain versus 59.7% in group B (P = 0.004). The incidence of intolerable pain at 24 h was 5.6% in group B versus 0% in group A (P = 0.04). Cumulative ambulation scores were significantly better in group A (P < 0.05). There was a strong and positive correlation between the analgesia and ability to ambulate comfortably at 24 h postop (Pearson's coefficient 0.95).
Conclusion: Supplemental ultrasound-guided TAP block given intraoperatively reduces the postoperative pain. The incidence of emergence delirium was low. These patients were also able to ambulate earlier. |
| first_indexed | 2024-12-23T03:29:38Z |
| format | Article |
| id | doaj.art-4b6a496e9c7e47d4961985e9bf7c568d |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-12-23T03:29:38Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-4b6a496e9c7e47d4961985e9bf7c568d2022-12-21T18:01:44ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852018-01-0134447247710.4103/joacp.JOACP_62_17Transversus abdominis plane block supplementation during iliac crest bone graft harvesting – Effect on postoperative painUsha ShenoyVigil PeterPhilip MathewTom ThomasBackground and Aims: Transversus abdominis plane (TAP) block is a technique proposed to minimise pain after anterior iliac crest bone harvesting. This study aims to evaluate the postoperative pain in patients who receive ultrasound-guided TAP block to supplement routine wound infiltration. Material and Methods: A total of 143 patients aged between 6 and 22 years were randomised into two groups. Patients in group A received supplemental TAP block on the same side. Patients in group B received local anesthetic wound infiltration alone. Pain scores were compared at the first and 24th postoperative hours. Results: TAP block significantly reduced pain and delirium in the immediate postoperative period. The mean FLACC (Face, Legs, Activity, Cry, Consolability) score after 10 min was 0.8 in group A versus 1.8 in group B (P = 0.001). The mean Watcha scale at 10 min was 1.0 in group A versus 1.2 in group B (P = 0.001). After 24 h, 81.7% of patients in group A had no pain versus 59.7% in group B (P = 0.004). The incidence of intolerable pain at 24 h was 5.6% in group B versus 0% in group A (P = 0.04). Cumulative ambulation scores were significantly better in group A (P < 0.05). There was a strong and positive correlation between the analgesia and ability to ambulate comfortably at 24 h postop (Pearson's coefficient 0.95). Conclusion: Supplemental ultrasound-guided TAP block given intraoperatively reduces the postoperative pain. The incidence of emergence delirium was low. These patients were also able to ambulate earlier.http://www.joacp.org/article.asp?issn=0970-9185;year=2018;volume=34;issue=4;spage=472;epage=477;aulast=ShenoyEarly ambulationiliac crest bone graft harvestingpain postoperativeTAP block |
| spellingShingle | Usha Shenoy Vigil Peter Philip Mathew Tom Thomas Transversus abdominis plane block supplementation during iliac crest bone graft harvesting – Effect on postoperative pain Journal of Anaesthesiology Clinical Pharmacology Early ambulation iliac crest bone graft harvesting pain postoperative TAP block |
| title | Transversus abdominis plane block supplementation during iliac crest bone graft harvesting – Effect on postoperative pain |
| title_full | Transversus abdominis plane block supplementation during iliac crest bone graft harvesting – Effect on postoperative pain |
| title_fullStr | Transversus abdominis plane block supplementation during iliac crest bone graft harvesting – Effect on postoperative pain |
| title_full_unstemmed | Transversus abdominis plane block supplementation during iliac crest bone graft harvesting – Effect on postoperative pain |
| title_short | Transversus abdominis plane block supplementation during iliac crest bone graft harvesting – Effect on postoperative pain |
| title_sort | transversus abdominis plane block supplementation during iliac crest bone graft harvesting effect on postoperative pain |
| topic | Early ambulation iliac crest bone graft harvesting pain postoperative TAP block |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2018;volume=34;issue=4;spage=472;epage=477;aulast=Shenoy |
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