Ultrasound-guided transversus abdominis plane blocks for patients undergoing laparoscopic hand-assisted nephrectomy: a randomized, placebo-controlled trial
نویسندگان
چکیده
Postoperative pain is a common complaint following living kidney donation or tumor resection using the laparoscopic hand-assisted technique. To evaluate the potential analgesic benefit of transversus abdominis plane blocks, we conducted a randomized, double-blind, placebo-controlled study in 21 patients scheduled to undergo elective living-donor nephrectomy or single-sided nephrectomy for tumor. Patients were randomized to receive either 20 mL of 0.5% ropivacaine or 20 mL of 0.9% saline bilaterally to the transversus abdominis plane under ultrasound guidance. We found that transversus abdominis plane blocks reduced overall pain scores at 24 hours, with a trend toward decreased total morphine consumption. Nausea, vomiting, sedation, and time to discharge were not significantly different between the two study groups.
منابع مشابه
Randomized Trial Comparing Ultrasound Guided and Laparoscopic Transversus Abdominis Plane Blocks: a Pilot
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Ultrasound-guided transversus abdominis block as part of multimodal analgesia In comparison with systemic morphine during laparoscopic operations
Background Transversus abdominis plane (TAP) block is a regional anesthetic technique that blocks the abdominal wall neural afferents by introducing local anesthetic into the neurofascial plane between the internal oblique and transverses abdominis muscles. Randomized controlled trials have demonstrated the efficacy of TAP block as a component of a multimodal regimen, in providing postoperative...
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