Ultrasound-guided transversus abdominis plane block in patients undergoing open inguinal hernia repair: 0.125% bupivacaine provides similar analgesic effect compared to 0.25% bupivacaine
| Autor: | Fatma Nur Akgün, Fatih Kılıç, Ayşegül Koçoğlu, Yetkin Özcabı, Arzu Yıldırım Ar, Firdevs Karadoğan, Dilek Erdoğan Arı |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Analgesic effect medicine.medical_specialty Visual analogue scale Hernia Inguinal Anesthesia Spinal 03 medical and health sciences 0302 clinical medicine Double-Blind Method 030202 anesthesiology Transversus Abdominis Plane Block Humans Medicine In patient 030212 general & internal medicine Anesthetics Local Herniorrhaphy Ultrasonography Interventional Abdominal Muscles Aged Pain Measurement Bupivacaine Pain Postoperative Morphine business.industry Nerve Block Middle Aged medicine.disease Ultrasound guided Surgery Analgesics Opioid Inguinal hernia Anesthesiology and Pain Medicine Elective Surgical Procedures Anesthesia Female business medicine.drug |
| Zdroj: | Journal of Clinical Anesthesia. 28:41-46 |
| ISSN: | 0952-8180 |
| Popis: | Study objective To evaluate the effectiveness of 0.125% bupivacaine compared to 0.25% bupivacaine for ultrasound-guided transversus abdominis plane (TAP) block in patients undergoing open inguinal hernia repair. Design Randomized, double-blind study. Setting Educational and research hospital. Patients Forty adult patients of American Society of Anesthesiologists physical status I-III undergoing elective primary unilateral open inguinal hernia repair under spinal anesthesia. Interventions Patients in group I received 20 mL of 0.25% bupivacaine, whereas patients in group II received 20 mL of 0.125% bupivacaine for TAP block at the end of the surgery. Measurements Pain intensity was assessed at rest and during coughing using 10-cm visual analog scale score at 5, 15, 30, and 45 minutes and 1, 2, 4, 6, 12, and 24 hours after TAP block. Morphine consumption and time to first morphine requirement were recorded. Main results Visual analog scale scores at rest and during coughing were not significantly different between groups at all time points measured. Twenty-four hours of morphine consumption (7.72±7.33 mg in group I and 6.06±5.20 mg in group II; P =.437) and time to first morphine requirement (182.35±125.16 minutes in group I and 143.21±87.28 minutes in group II; P =.332) were not different between groups. Conclusions 0.125% Bupivacaine provides similar analgesic effect compared to 0.25% bupivacaine for ultrasound-guided TAP block in patients undergoing open inguinal hernia repair. |
| Databáze: | OpenAIRE |
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