Analgesia and Respiratory Function after Laparoscopic Cholecystectomy in Patients receiving Ultrasound-Guided Bilateral Oblique Subcostal Transversus Abdominis Plane Block: A Randomized Double-Blind Study

Başaran, Betül; Başaran, Ahmet; Kozanhan, Betül; Kasdogan, Ela; Eryılmaz, Mehmet Ali; Özmen, Sadık

doi:10.12659/msm.893593

Cited by 49 publications

(24 citation statements)

References 30 publications

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“…Other effective analgesic methods have been described for use after LC. Oblique subcostal transversus abdominis plane (OSTAP) block is one of these methods [ 8 , 9 ]. However, we chose ESP block due to its effect on visceral nerve fibers.…”

Section: Discussionmentioning

confidence: 99%

Erector Spinae Plane Block for Different Laparoscopic Abdominal Surgeries: Case Series

Tulgar

Selvi

Kapaklı

2018

Case Reports in Anesthesiology

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The ultrasound guided erector spinae plane (ESP) block is a recent block described for various surgeries for postoperative analgesia. ESP block has effect on both visceral and somatic pain; therefore, its use in laparoscopic cholecystectomy and other abdominal surgeries can be advantageous. We describe successful ESP block application in three different cases for postoperative pain. Two patient were operated on using endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy and one patient was operated on using laparoscopic cholecystectomy together with the inguinal hernia operation.

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Section: Discussionmentioning

confidence: 99%

Erector Spinae Plane Block for Different Laparoscopic Abdominal Surgeries: Case Series

Tulgar

Selvi

Kapaklı

2018

Case Reports in Anesthesiology

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“…Many fallacies are associated with the use of VAS as parameter of pain in the postoperative period. [ 18 ] The analgesic benefit of TAP block is more prominent in studies where no block was used as comparator,[ 2 19 20 21 ] rather than studies where local anesthetic infiltration has been used. [ 13 22 23 ]…”

Section: Discussionmentioning

confidence: 99%

Analgesic efficacy of ultrasound guided transversus abdominis plane block versus local anesthetic infiltration in adult patients undergoing single incision laparoscopic cholecystectomy: A randomized controlled trial

et al. 2016

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Background:Transversus abdominis plane (TAP) block has been used to provide intra- and post-operative analgesia with single incision laparoscopic (SIL) bariatric and gynecological surgery with mixed results. Its efficacy in providing analgesia for SIL cholecystectomy (SILC) via the same approach remains unexplored.Aims:The primary objective of our study was to compare the efficacy of bilateral TAP block with local anesthetic infiltration for perioperative analgesia in patients undergoing SILC.Settings and Design:This was a prospective, randomized, controlled, double-blinded trial performed in a tertiary care hospital.Materials and Methods:Forty-two patients undergoing SILC were randomized to receive either ultrasound-guided (USG) bilateral mid-axillary TAP blocks with 0.375% ropivacaine or local anesthetic infiltration of the port site. The primary outcome measure was the requirement of morphine in the first 24 h postoperatively.Statistical Analysis:The data were analyzed using t-test, Mann–Whitney test or Chi-square test.Results:The 24 h morphine requirement (mean ± standard deviation) was 34.57 ± 14.64 mg in TAP group and 32.76 ± 14.34 mg in local infiltration group (P = 0.688). The number of patients requiring intraoperative supplemental fentanyl in TAP group was 8 and in local infiltration group was 16 (P = 0.028). The visual analog scale scores at rest and on coughing were significantly higher in the local infiltration group in the immediate postoperative period (P = 0.034 and P = 0.007, respectively).Conclusion:USG bilateral TAP blocks were not effective in decreasing 24 h morphine requirement as compared to local anesthetic infiltration in patients undergoing SILC although it provided some analgesic benefit intraoperatively and in the initial 4 h postoperatively. Hence, the benefits of TAP blocks are not worth the effort and time spent for administering them for this surgery.

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“…A large volume of local anesthetics is required to hydrodissect the TAP along the whole ipsilateral oblique subcostal line. It can provide promising analgesia for abdominal surgeries [ 61 – 63 ] and might be better compared to the lateral approach [ 64 ]. However, the oblique subcostal TAP block is much more difficult.…”

Section: Techniques Of Tap Blockmentioning

confidence: 99%

Transversus Abdominis Plane Block: An Updated Review of Anatomy and Techniques

Tsai

Yoshida

Chuang

et al. 2017

BioMed Research International

299

196

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Purpose of Review Transversus abdominis plane (TAP) block is a regional technique for analgesia of the anterolateral abdominal wall. This review highlights the nomenclature system and recent advances in TAP block techniques and proposes directions for future research. Recent Findings Ultrasound guidance is now considered the gold standard in TAP blocks. It is easy to acquire ultrasound images; it can be used in many surgeries involving the anterolateral abdominal wall. However, the efficacy of ultrasound-guided TAP blocks is not consistent, which might be due to the use of different approaches. The choice of technique influences the involved area and block duration. To investigate the actual analgesic effects of TAP blocks, we unified the nomenclature system and clarified the definition of each technique. Although a single-shot TAP block is limited in duration, it is still the candidate of the analgesic standard for abdominal wall surgery because the use of the catheter technique and liposomal bupivacaine may overcome this limitation. Summary Ultrasound-guided TAP blocks are commonly used. With the unified nomenclature and the development of catheter technique and/or liposomal local anesthetics, TAP blocks can be applied more appropriately to achieve better pain control.

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Analgesia and Respiratory Function after Laparoscopic Cholecystectomy in Patients receiving Ultrasound-Guided Bilateral Oblique Subcostal Transversus Abdominis Plane Block: A Randomized Double-Blind Study

Cited by 49 publications

References 30 publications

Erector Spinae Plane Block for Different Laparoscopic Abdominal Surgeries: Case Series

Erector Spinae Plane Block for Different Laparoscopic Abdominal Surgeries: Case Series

Analgesic efficacy of ultrasound guided transversus abdominis plane block versus local anesthetic infiltration in adult patients undergoing single incision laparoscopic cholecystectomy: A randomized controlled trial

Transversus Abdominis Plane Block: An Updated Review of Anatomy and Techniques

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