Continuous Transversus Abdominis Plane Block for Renal Transplant Recipients

Jankovic, Zorica; Nachiappan, Meyyappan M.

doi:10.1213/ane.0b013e3181ba75d1

Cited by 58 publications

(26 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…the transversus abdominis plane or TAP) could decrease postoperative pain in various surgery types by blocking the sensory nerves (from the tenth thoracic to first lumbar nerve). (30,31) However, we did not insert a catheter in the TAP because of the need for additional surgical dissection between the transversus abdominis and internal oblique muscles. Furthermore, we were also concerned that the close proximity of the TAP catheter to the transplanted kidney might increase the risk of infection in immunosuppressed recipients.…”

Section: Discussionmentioning

confidence: 99%

Comparison of intrathecal morphine and surgical-site infusion of ropivacaine as adjuncts to intravenous patient-controlled analgesia in living-donor kidney transplant recipients

Jiang

Kim

Lee

et al. 2017

smedj

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Comparison of intrathecal morphine and surgical-site infusion of ropivacaine as adjuncts to intravenous patient-controlled analgesia in living-donor kidney transplant recipients

Jiang

Kim

Lee

et al. 2017

smedj

View full text Add to dashboard Cite

“…In both reports, the authors inserted a single-shot TAP block using the landmark technique. The use of the continuous TAP block technique in RT has been recently described [15]; however, the authors had to abandon the technique due to the low success rate (50 %) in catheter placement, low analgesic effect and surgical field interference. Instead, the authors asked the surgeons to insert the catheter under direct visualization.…”

Section: Discussionmentioning

confidence: 99%

Continuous transversus abdominis plane block catheter analgesia for postoperative pain control in renal transplant

et al. 2014

View full text Add to dashboard Cite

Purpose Continuous transversus abdominis plane (TAP) block using a catheter has proven its usefulness in reducing opioid requirements and pain scores after lower abdominal surgery. However, there are no reports of its successful use after renal transplant. We tested the hypothesis that continuous TAP block would retrospectively reduce opioid requirement, nausea score and hospital stay after renal transplant surgery. Methods In a retrospective study, we reviewed the data from 63 adult renal transplant recipients—31 with patient-controlled TAP analgesia with standing orders for intravenous as well as oral opioids as needed and 32 with intravenous patient-controlled analgesia. The TAP catheter was inserted preoperatively using an ultra-sound-guided technique. Infusion of ropivacaine 0.2 % at 8 ml basal, 12 ml bolus and a lockout interval of 60 min were maintained for 48 h postoperatively. The primary outcome was total morphine-equivalent dose during the 48-h postoperative period. Secondary outcomes were pain and nausea scores for the 48-h postoperative period. Results The mean 48-h postoperative morphine-equivalent doses [95 % confidence interval] for patient-controlled intravenous analgesia and TAP catheter were 197 [111, 349] and 50 [28, 90], respectively, which were significantly different (P = 0.002). The mean 48-h average verbal response pain scores were 2.94 [2.39, 3.50] and 2.49 [1.93, 3.06], respectively, which were not significantly different (P = 0.26). The mean nausea scores were 0.66 [0.46, 0.87] and 0.60 [0.40, 0.81], respectively, which were not significantly different (P = 0.69). There was no difference regarding hospital stay. Conclusion The use of continuous TAP analgesia for postoperative analgesia after renal transplant was effective in reducing the morphine-equivalent requirements.

show abstract

“…5 Prolonged TAP blocks using indwelling catheters and continuous local anesthetic infusions have been described in a few cases, i.e., for postoperative pain management in renal transplant recipients, abdominal midline surgical incisions, and inguinal hernia repairs, with promising results. 2,6,7 The TAP block is an interfascial block, and the target nerves cannot be visualized under US. The nerve distribution in the plane has been previously described in cadaveric dissections, and these studies suggest that lumbar blocks would be more appropriate for lower abdominal surgeries.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, the use of TAP blocks with indwelling catheters has been described in the literature with promising results. 2 We report a somatosensory block by loss to cold sensation and successful postoperative pain management for a patient with several cardiorespiratory comorbidities. The procedure was performed by way of US-guided bilateral lumbar TAP blocks with continuous local anesthetic infusions.…”

Section: Résumémentioning

confidence: 95%

Continuous lumbar transversus abdominis plane block may spread to supraumbilical dermatomes

Forero

Neira

Heikkila

et al. 2011

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Purpose The transversus abdominis plane block is an interfascial block intended to target nerves supplying the abdominal wall. It has been shown to reduce pain and postoperative opioids in abdominal surgeries. We present the case of a high-risk patient in whom bilateral continuous lumbar transversus abdominis plane blocks provided effective postoperative analgesia following infraumbilical midline laparotomy. Clinical features A 59-yr-old woman with coronary artery disease, severe peripheral vascular disease, and mild to moderate obstructive sleep apnea underwent a total abdominal hysterectomy, bilateral salpingo-oophorectomy, and pelvic lymph node dissection via an infraumbilical midline laparotomy. Bilateral ultrasound-guided lumbar transversus abdominis plane blocks with catheters were sited intraoperatively. Using only a continuous local anesthetic infusion in the postoperative period, the patient required no systemic opioids or acetaminophen for 81 hr. A sensory block level of T6-L1, higher than that reported following a single-shot technique, remained for 24 hr following infusion discontinuation and finally normalized after 33 hr.

show abstract

Continuous Transversus Abdominis Plane Block for Renal Transplant Recipients

Cited by 58 publications

References 1 publication

Comparison of intrathecal morphine and surgical-site infusion of ropivacaine as adjuncts to intravenous patient-controlled analgesia in living-donor kidney transplant recipients

Comparison of intrathecal morphine and surgical-site infusion of ropivacaine as adjuncts to intravenous patient-controlled analgesia in living-donor kidney transplant recipients

Continuous transversus abdominis plane block catheter analgesia for postoperative pain control in renal transplant

Continuous lumbar transversus abdominis plane block may spread to supraumbilical dermatomes

Contact Info

Product

Resources

About