The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy
BackgroundSeveral methods are performed to control the pain after a laparoscopic cholecystectomy. Recently, the transverse abdominis plane block has been proposed to compensate for the problems developed by preexisting methods. This study was designed to evaluate the effect of the ultrasound-guided...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2010-04-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-58-362.pdf |
| _version_ | 1828961721000132608 |
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| author | Yoon Suk Ra Chi Hyo Kim Guie Yong Lee Jong In Han |
| author_facet | Yoon Suk Ra Chi Hyo Kim Guie Yong Lee Jong In Han |
| author_sort | Yoon Suk Ra |
| collection | DOAJ |
| description | BackgroundSeveral methods are performed to control the pain after a laparoscopic cholecystectomy. Recently, the transverse abdominis plane block has been proposed to compensate for the problems developed by preexisting methods. This study was designed to evaluate the effect of the ultrasound-guided transverse abdominis plane block (US-TAP block) and compare efficacy according to the concentration of local analgesics in patients undergoing laparoscopic cholecystectomy.MethodsFifty-four patients undergoing laparoscopic cholecystectomy were randomized into three groups. The patients in Group Control did not receive the US-TAP block. The patients in Group B0.25 and Group B0.5 received the US-TAP block with 0.25% and 0.5% levobupivacaine 30 ml respectively. After the general anesthesia, a bilateral US-TAP block was performed using an in-plane technique with 15 ml levobupivacaine on each side. Intraoperative use of remifentanil and postoperative demand of rescue analgesics in PACU were recorded. The postoperative verbal numerical rating scale (VNRS) was evaluated at 20, 30, and 60 min, and 6, 12, and 24 hr. Postoperative complications, including pneumoperitoneum, bleeding, infection, and sleep disturbance, were also checked.ResultsThe intraoperative use of remifentanil, postoperative VNRS and the postoperative demand of rescue analgesics were lower in the groups receiving the US-TAP block (Group B0.25 and Group B0.5) than Group Control. There were no statistically or clinically significant differences between Group B0.25 and Group B0.5. No complications related to the US-TAP block were observed.ConclusionsThe US-TAP block with 0.25% or 0.5% levobupivacaine 30 ml (15 ml on each side) significantly reduced postoperative pain in patients undergoing laparoscopic cholecystectomy. |
| first_indexed | 2024-12-14T09:50:44Z |
| format | Article |
| id | doaj.art-e298d4ec7c414474bddc3375953f3c7f |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-14T09:50:44Z |
| publishDate | 2010-04-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-e298d4ec7c414474bddc3375953f3c7f2022-12-21T23:07:32ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632010-04-0158436236810.4097/kjae.2010.58.4.3626882The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomyYoon Suk Ra0Chi Hyo Kim1Guie Yong Lee2Jong In Han3Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.BackgroundSeveral methods are performed to control the pain after a laparoscopic cholecystectomy. Recently, the transverse abdominis plane block has been proposed to compensate for the problems developed by preexisting methods. This study was designed to evaluate the effect of the ultrasound-guided transverse abdominis plane block (US-TAP block) and compare efficacy according to the concentration of local analgesics in patients undergoing laparoscopic cholecystectomy.MethodsFifty-four patients undergoing laparoscopic cholecystectomy were randomized into three groups. The patients in Group Control did not receive the US-TAP block. The patients in Group B0.25 and Group B0.5 received the US-TAP block with 0.25% and 0.5% levobupivacaine 30 ml respectively. After the general anesthesia, a bilateral US-TAP block was performed using an in-plane technique with 15 ml levobupivacaine on each side. Intraoperative use of remifentanil and postoperative demand of rescue analgesics in PACU were recorded. The postoperative verbal numerical rating scale (VNRS) was evaluated at 20, 30, and 60 min, and 6, 12, and 24 hr. Postoperative complications, including pneumoperitoneum, bleeding, infection, and sleep disturbance, were also checked.ResultsThe intraoperative use of remifentanil, postoperative VNRS and the postoperative demand of rescue analgesics were lower in the groups receiving the US-TAP block (Group B0.25 and Group B0.5) than Group Control. There were no statistically or clinically significant differences between Group B0.25 and Group B0.5. No complications related to the US-TAP block were observed.ConclusionsThe US-TAP block with 0.25% or 0.5% levobupivacaine 30 ml (15 ml on each side) significantly reduced postoperative pain in patients undergoing laparoscopic cholecystectomy.http://ekja.org/upload/pdf/kjae-58-362.pdflaparoscopic cholecystectomylevobupivacainepostoperative paintransverse abdominis plane blockultrasound |
| spellingShingle | Yoon Suk Ra Chi Hyo Kim Guie Yong Lee Jong In Han The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy Korean Journal of Anesthesiology laparoscopic cholecystectomy levobupivacaine postoperative pain transverse abdominis plane block ultrasound |
| title | The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy |
| title_full | The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy |
| title_fullStr | The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy |
| title_full_unstemmed | The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy |
| title_short | The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy |
| title_sort | analgesic effect of the ultrasound guided transverse abdominis plane block after laparoscopic cholecystectomy |
| topic | laparoscopic cholecystectomy levobupivacaine postoperative pain transverse abdominis plane block ultrasound |
| url | http://ekja.org/upload/pdf/kjae-58-362.pdf |
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