Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block After Laparoscopic Bariatric Surgery: a Double Blind, Randomized, Controlled Study

Sinha, Aparna; Jayaraman, Lakshmi; Punhani, Dinesh

doi:10.1007/s11695-012-0819-5

Cited by 94 publications

(74 citation statements)

References 25 publications

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“…33,37,63 All were laparoscopic procedures (single-port sleeve gastrectomy and gastric bypass surgery) studying the efficacy of TAP block compared with placebo. Transversus abdominal plane block reduced the six-hour pain score by 0.9 (95% CI, -1.3 to -0.5; P \ 0.001) and the 12-hr pain score by 1.1 (95% CI, -1.6 to -0.6; P \ 0.001).…”

Section: Transversus Abdominal Plane Block In Bariatric Surgerymentioning

confidence: 99%

“…Transversus abdominal plane block reduced the six-hour pain score by 0.9 (95% CI, -1.3 to -0.5; P \ 0.001) and the 12-hr pain score by 1.1 (95% CI, -1.6 to -0.6; P \ 0.001). 33,37 All trials evaluated 24-hr pain scores and 24-hr morphine consumption. Transversus abdominal plane block did not reduce the 24-hr pain score (-0.6; 95% CI, -2.1 to 1.0; P = 0.48).…”

Section: Transversus Abdominal Plane Block In Bariatric Surgerymentioning

confidence: 99%

See 1 more Smart Citation

Transversus abdominal plane block for postoperative analgesia: a systematic review and meta-analysis of randomized-controlled trials

Brogi

Kazan

Cyr

et al. 2016

Can J Anesth/J Can Anesth

133

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Purpose The transversus abdominal plane (TAP) block has been described as an effective pain control technique after abdominal surgery. We performed a systematic review and meta-analysis of randomized-controlled trials (RCTs) to account for the increasing number of TAP block studies appearing in the literature. The primary outcome we examined was the effect of TAP block on the postoperative pain score at six, 12, and 24 hr. The secondary outcome was 24-hr morphine consumption. Source We searched the United States National Library of Medicine database, the Excerpta Medica database, and the Cochrane Central Register of Controlled Clinical Studies and identified RCTs focusing on the analgesic efficacy of TAP block compared with a control group [i.e., placebo, epidural analgesia, intrathecal morphine (ITM), and ilioinguinal nerve block after abdominal surgery]. Meta-analyses were performed on postoperative pain scores at rest at six, 12, and 24 hr (visual analogue scale, 0-10) and on 24-hr opioid consumption. Principal findings In the 51 trials identified, compared with placebo, TAP block reduced the VAS for pain at six hours by 1.4 (95% confidence interval [CI], -1.9 to -0.8; P\0.001), at 12 hr by 2.0 (95% CI, -2.7 to -1.4; P\0.001), and at 24 hr by 1.2 (95% CI, -1.6 to -0.8; P \ 0.001). Similarly, compared with placebo, TAP block reduced morphine consumption at 24 hr after surgery (mean difference, -14.7 mg; 95% CI, -18.4 to -11.0; P \0.001). We observed this reduction in pain scores and morphine consumption in the TAP block group after gynecological surgery, appendectomy, inguinal surgery, bariatric surgery, and urological surgery. Nevertheless, separate analysis of the studies comparing ITM with TAP block revealed that ITM seemed to have a greater analgesic efficacy. Conclusions The TAP block can play an important role in the management of pain after abdominal surgery by reducing both pain scores and 24-hr morphine consumption. It may have particular utility when neuraxial techniques or opioids are contraindicated. RésuméObjectif Le bloc dans le plan du muscle transverse de l'abdomen (ou TAP bloc) a été décrit comme une technique efficace de contrô le de la douleur après une chirurgie abdominale. Nous avons réalisé une revue systématique et une méta-analyse des études randomisées contrô lées (ERC) pour faire un état des lieux du nombre croissant d'études

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Section: Transversus Abdominal Plane Block In Bariatric Surgerymentioning

confidence: 99%

Section: Transversus Abdominal Plane Block In Bariatric Surgerymentioning

confidence: 99%

Transversus abdominal plane block for postoperative analgesia: a systematic review and meta-analysis of randomized-controlled trials

Brogi

Kazan

Cyr

et al. 2016

Can J Anesth/J Can Anesth

133

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“…Sinha et al [11] demonstrated improvement of three different variables: lower pain scores in VAS, less need for opioids (Tramadol) therefore allowing for less sedation and early ambulation. Patient satisfaction scores were also significantly higher [11].…”

Section: Transverses Abdominis Plane Block (Tap) Blockmentioning

confidence: 99%

Pain Management in Weight Loss Surgery: Aiming for Multimodal Approach

Gamboa¹

2016

AOWMC

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Weight loss surgery (WLS) is an effective group of procedures with a low rate of complications, preventing or treating several cardiovascular co morbidities associated with morbid obesity. Pain management in the preoperative needs special consideration in this population because of different aspects, specially the theoretical need for opioid avoidance, generally used in the postoperative of major surgeries. This literature review assesses the available information on analgesic strategies for WLS, with a special approach on multimodal settings and possible alternatives. Well-controlled studies are needed to determine the level of recommendation for individual therapies and multimodal regimens.

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“…Bilateral TAP blocks were associated with significantly less morphine consumption however, no difference in pain scores. Another study looked at the benefit of TAP blocks in laparoscopic bariatric surgery and found lower pain scores and decreased analgesic requirements in the TAP block group [35].…”

Section: Laparoscopic Surgerymentioning

confidence: 99%

Analgesic Benefits of Ultrasound-Guided Thoraco-Abdominal Wall Peripheral Nerve Blocks

Ortiz¹,

Wofford²

2016

TOATJ

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Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block After Laparoscopic Bariatric Surgery: a Double Blind, Randomized, Controlled Study

Abstract: Our study demonstrates that the USG-TAP as part of multimodal analgesic technique in morbidly obese patients undergoing laparoscopic gastric bypass reduces opioid requirement, improves pain score, decreases sedation, promotes early ambulation, and has greater patient satisfaction.

Cited by 94 publications

References 25 publications

Transversus abdominal plane block for postoperative analgesia: a systematic review and meta-analysis of randomized-controlled trials

Transversus abdominal plane block for postoperative analgesia: a systematic review and meta-analysis of randomized-controlled trials

Pain Management in Weight Loss Surgery: Aiming for Multimodal Approach

Analgesic Benefits of Ultrasound-Guided Thoraco-Abdominal Wall Peripheral Nerve Blocks

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