Unilateral Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy for Pain Control Comparison with Conventional Port Site and Peritoneal Infiltration
Objective: To compare image-guided unilateral subcostal transversus abdominis plane (STA) block with infiltration of local anaesthetic both port site and peritoneal for post-operative analgesia for laparoscopic gall bladder surgery. Study Design: Quasi-experimental study Place and Duration of...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2023-06-01
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| Series: | Pakistan Armed Forces Medical Journal |
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| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/7979 |
| _version_ | 1827822237354295296 |
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| author | Muhammad Rashid Muhammad Imran Kamil Hussain Qureshi Kaukab Majeed Usman Khalid Habib Ur Rehman |
| author_facet | Muhammad Rashid Muhammad Imran Kamil Hussain Qureshi Kaukab Majeed Usman Khalid Habib Ur Rehman |
| author_sort | Muhammad Rashid |
| collection | DOAJ |
| description |
Objective: To compare image-guided unilateral subcostal transversus abdominis plane (STA) block with infiltration of local anaesthetic both port site and peritoneal for post-operative analgesia for laparoscopic gall bladder surgery.
Study Design: Quasi-experimental study
Place and Duration of Study: Department of Anesthesia, Combined Military Hospital, Quetta Pakistan, from Nov 2018 to Apr 2019.
Methodology: The study sample (n=80) was divided into two Groups, one for image-guided subcostal transversus abdominis plane block and the other for peritoneal and port site infiltration of local anaesthetic. Anaesthesia was induced with intravenously administered propofol, atracurium, nalbuphine, and intraoperative non-opioid analgesia with ketorolac following which endotracheal intubation was done. The level of abdominal pain was assessed.
Results: The mean opioid consumption at the 24th post-operative hour was 22.75±8.55 in Group-A and 43.20±11.80 in GroupB. Mean total opioid consumption was 111.40±35.99 and 218.90±63.91 in Group-A and B, respectively. The mean VAS score at the 24th post-operative hour was 1.20±0.96 in Group- A and 3.12±1.63 in Group-B. The results showed a significant mean difference between opioid consumption and VAS pain score at the 24th hour (p<0.05).
Conclusion: The unilateral Subcostal transversus abdominis plane block proved a superior alternative to port site and peritoneal infiltration combined for laparoscopic cholecystectomy.
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| first_indexed | 2024-03-12T01:55:17Z |
| format | Article |
| id | doaj.art-717ff9e5577f4e6ca126d90ed6752fd2 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-03-12T01:55:17Z |
| publishDate | 2023-06-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-717ff9e5577f4e6ca126d90ed6752fd22023-09-08T06:02:33ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-06-0173310.51253/pafmj.v73i3.7979Unilateral Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy for Pain Control Comparison with Conventional Port Site and Peritoneal InfiltrationMuhammad Rashid0Muhammad Imran1Kamil Hussain Qureshi2Kaukab Majeed3Usman Khalid4Habib Ur Rehman5Department of Anesthesia, Medical Battalion, Kotli PakistanDepartment of Anesthesia, Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS) PakistanDepartment of Anesthesia, Combined Military Hospital, Muzaffarabad/National University of Medical Sciences (NUMS) PakistanDepartment of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Anesthesia, Combined Military Hospital, Bannu/National University of Medical Sciences (NUMS) PakistanDepartment of Surgery, Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan Objective: To compare image-guided unilateral subcostal transversus abdominis plane (STA) block with infiltration of local anaesthetic both port site and peritoneal for post-operative analgesia for laparoscopic gall bladder surgery. Study Design: Quasi-experimental study Place and Duration of Study: Department of Anesthesia, Combined Military Hospital, Quetta Pakistan, from Nov 2018 to Apr 2019. Methodology: The study sample (n=80) was divided into two Groups, one for image-guided subcostal transversus abdominis plane block and the other for peritoneal and port site infiltration of local anaesthetic. Anaesthesia was induced with intravenously administered propofol, atracurium, nalbuphine, and intraoperative non-opioid analgesia with ketorolac following which endotracheal intubation was done. The level of abdominal pain was assessed. Results: The mean opioid consumption at the 24th post-operative hour was 22.75±8.55 in Group-A and 43.20±11.80 in GroupB. Mean total opioid consumption was 111.40±35.99 and 218.90±63.91 in Group-A and B, respectively. The mean VAS score at the 24th post-operative hour was 1.20±0.96 in Group- A and 3.12±1.63 in Group-B. The results showed a significant mean difference between opioid consumption and VAS pain score at the 24th hour (p<0.05). Conclusion: The unilateral Subcostal transversus abdominis plane block proved a superior alternative to port site and peritoneal infiltration combined for laparoscopic cholecystectomy. https://www.pafmj.org/index.php/PAFMJ/article/view/7979Laparoscopic cholecystectomyPort site and peritoneal infiltrationUltrasound guided unilateral subcostal transversus abdomenis plane block |
| spellingShingle | Muhammad Rashid Muhammad Imran Kamil Hussain Qureshi Kaukab Majeed Usman Khalid Habib Ur Rehman Unilateral Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy for Pain Control Comparison with Conventional Port Site and Peritoneal Infiltration Pakistan Armed Forces Medical Journal Laparoscopic cholecystectomy Port site and peritoneal infiltration Ultrasound guided unilateral subcostal transversus abdomenis plane block |
| title | Unilateral Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy for Pain Control Comparison with Conventional Port Site and Peritoneal Infiltration |
| title_full | Unilateral Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy for Pain Control Comparison with Conventional Port Site and Peritoneal Infiltration |
| title_fullStr | Unilateral Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy for Pain Control Comparison with Conventional Port Site and Peritoneal Infiltration |
| title_full_unstemmed | Unilateral Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy for Pain Control Comparison with Conventional Port Site and Peritoneal Infiltration |
| title_short | Unilateral Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy for Pain Control Comparison with Conventional Port Site and Peritoneal Infiltration |
| title_sort | unilateral subcostal transversus abdominis plane block in laparoscopic cholecystectomy for pain control comparison with conventional port site and peritoneal infiltration |
| topic | Laparoscopic cholecystectomy Port site and peritoneal infiltration Ultrasound guided unilateral subcostal transversus abdomenis plane block |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/7979 |
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