Analgesic efficacy of Transverse Abdomen Plane Block in Kidney Transplantation

Introduction: The transversus abdominis plane anesthetic block (TAP Block) technique was first introduced in 2001 by Rafi to promote anterolateral abdominal wall analgesia. This involves the T7-L1, subcostal, ilioinguinal and iliohypogastric nerves. Kidney transplant recipients are candidates for this blocking method, since surgical access kidney implant allows exposure of nerve plexus, responsible parietal component pain, allowing its blockade under direct vision. Objectives:To analyze analgesic efficacy TAP Block x local infiltration transplantation three different moments: upon awakening after 6h with 24h rest sitting down using visual analogue pain scale evaluation. Methods:Prospective, randomized, double-blind study two groups, control group: standard balanced general anesthesia infusion subcutaneous tissue; experimental: directly through access. These groups were evaluated postoperatively a researcher who unaware type procedure patient underwent. Candidates participate patients from General Transplant Unit, located at Instituto de Medicina Integral Prof. Fernando Figueira (IMIP). Results: 45 allocated study. After exclusions, 20 group 21 experimental analyzed. No clinical or demographic characteristics statistically significant. In group, 72.6 % reported moderate/severe awakening, while moderate severe present only 7.4 p<0.001. 06h assessment, there significant difference relation scores between groups: 59.8 15 respectively, p < 0.007. There no statistical static dynamic evaluation period. Conclusion: Balanced associated proved be effective reducing initial 6h, being, as expected, less 24-hour