Transversus abdominis plane (TAP) block for postoperative analgesia after laparoscopic cholecystectomy, a retrospective study

Autor: Ferda Yaman, Gokay Ates, Gökhan Karaca, Selim Çolak, Faruk Pehlivanli, Işın Gençay, Gülçin Aydin
Přispěvatelé: Kırıkkale Üniversitesi
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Popis: Objective: Laparoscopic cholecystectomy is a minimally invasive surgical procedure but it is still associated with postoperative pain within the first 24 hours. Ultrasound-guided transversus abdominis plane block is a regional anesthetic technique which provides postoperative analgesia in abdominal surgery. We aimed to determine the effects of the TAP block on discharge time, non-opioid and opioid consumption, shoulder tip pain, incidence of postoperative nausea and vomiting, and severity of pain evaluated with visual analogue scale in patients who underwent laparoscopic cholecystectomy. Methods: Seventy-two eligible patients who underwent laparoscopic cholecystectomy were included in the study. In 38 patients ultrasound-guided TAP block was performed, and 34 patients were treated with conventional methods such as non-steroid anti-inflamatory drugs. Data related to VAS pain scores, shoulder tip pain, intraoperative opioid consumption, postoperative non-opioid and opioid consumption, nausea vomiting and discharge time were collected retrospectively to determine statistically significant differences between TAP block and non-TAP block groups. Results: VAS pain scores were globally reduced at all time periods in two groups (significant group main effect, F(7.760)=94.47, P
Databáze: OpenAIRE