Comparison of Analgesic Efficacy of Ultrasound Guided Subcostal Transversus Abdominis Plane Block with Port Site Infiltration Following Laparoscopic Cholecystectomy
| Autor: | Bidur Baral, Puspa Raj Poudel |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.drug_class Analgesic Port site 03 medical and health sciences 0302 clinical medicine Transversus Abdominis Plane Block medicine Humans Prospective Studies Anesthetics Local Laparoscopic cholecystectomy Ultrasonography Interventional Bupivacaine Pain Postoperative business.industry Local anesthetic Nerve Block General Medicine Middle Aged Opioid Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis Anesthesia 030211 gastroenterology & hepatology Female Laparoscopic Port business Vascular Access Devices medicine.drug |
| Zdroj: | Journal of Nepal Health Research Council. 16(41) |
| ISSN: | 1999-6217 |
| Popis: | Background: Patients have significant pain following laparoscopic cholecystectomy. Several modalities have been used to manage this pain. Subcostal transversus abdominis plane (TAP) block is one of the components of multimodal analgesia and has been described as an effective technique for postoperative pain management. This study compares the impact of subcostal TAP block with port site local infiltration following laparoscopic cholecystectomy for postoperative pain and opioid consumption.Methods: This is a prospective, randomized, interventional study. Sixty patients were enrolled and divided into two groups having 30 patients in each group. Group A received bilateral ultrasound guided subcostal TAP block with 10 mL of 0.25% bupivacaine after the completion of surgery. Group B received similar amount of local anesthetic infiltrated over all the laparoscopic port sites. Pain at rest and on movement was assessed using VAS scale in post-operative period at 0 min, 30 min, 2, 4, 6, 12 and 24 hours. Time of first rescue analgesic requirement and total opioid consumption over 24 hours were recorded.Results: Patients receiving Subcostal TAP block had reduced postoperative pain as compared to port site infiltration and statistically significantly in first two hours after surgery. The 24 hours opioids consumption was significantly less (125mg ±25.42 versus 175mg ±25.42, p |
| Databáze: | OpenAIRE |
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