Subcostal Transversus Abdominis Plane Block for Postoperative Analgesia in Liver Transplant Recipients

Milan, Zoka; Duncan, Bruce Bartholow; Rewari, Vimi; Kocarev, Mitko; Collin, R

doi:10.1016/j.transproceed.2011.06.059

Cited by 55 publications

(37 citation statements)

References 9 publications

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“…For zone 4, located at the lateral epigastric area, the effective rates at 20 minutes, 3, and 12 hours are 40%, 30%, and 0%—all lower than 50%, indicating that subcostal TAP block has some analgesic efficacy but not enough for surgery and postoperative analgesia. This result partly contrasts with work by Milan et al [14] and Maeda et al, [15] who found that subcostal TAP had sufficient analgesic efficacy during liver transplant surgery. This could be relevant to the needle tip at the transverse fascia located closer to midline.…”

Section: Discussioncontrasting

confidence: 96%

Analgesic efficacy of ultrasound-guided subcostal transversus abdominis plane block

Jiang²,

Tang³

et al. 2017

Medicine

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Background: To evaluate the analgesic efficacy on defined areas of the abdomen and back after ultrasound-guided subcostal transversus abdominis plane (TAP) block using 0.25% levobupivacaine 0.5 mL/kg.Methods: Twenty patients undergoing elective laparoscopic cholecystectomy, between 20 and 60 years of age with operative time <1 hour, received subcostal TAP block using 0.25% levobupivacaine 0.5 mL/kg on the left side. Surgery started after 1 hour of observation. Sensory assessment was undertaken using pinprick and 75% ethyl alcohol at 10, 20, 30 minutes, 1, 3, and 12 hours after TAP block at 19 testing zones that were divided by anatomic landmark lines on the abdomen and the back. Efficacy of zone was defined as loss of cold temperature sensation or loss of pinprick pain sensation in more than 50% patients in that testing zone. Duration was determined by analgesia and loss of temperature sensation beginning within 30 minutes of TAP block placement lasting until time points of 1, 3, and 12 hours. All of the testing zones were divided as Group I effective at 20 minutes in less than 50% patients (0%-50%), Group II 50% to 70% patients, Group III 70% to 90% patients, and Group IV 90% to 100% patients.Results: Twenty patients meeting the study requirements were included. At each time point, the efficacies among 4 groups were significantly different. Subcostal TAP had good efficacy and stable duration in zones 1, 2, 3, 5, and 6.Conclusion: Subcostal TAP block with 0.25% levobupivacaine 0.5 mL/kg dose provided effective analgesia in the anterior abdominal wall between medioventral line to anterior axillary line except the lateral upper abdominal region.Abbreviation: TAP = transversus abdominis plane.

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Section: Discussioncontrasting

confidence: 96%

Analgesic efficacy of ultrasound-guided subcostal transversus abdominis plane block

Jiang²,

Tang³

et al. 2017

Medicine

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“…They have been described for kidney transplant recipients,2,3,5 liver transplant,17 and in control of immediate postoperative pain following pancreas transplant 18. To date, only one prospective study has described the use of TAP blocks in kidney donors 4.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided transversus abdominis plane blocks for patients undergoing laparoscopic hand-assisted nephrectomy: a randomized, placebo-controlled trial

Aniskevich¹,

Taner²,

Perry³

et al. 2014

LRA

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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.

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“…46 É importante destacar que o TAP deve sempre ocorrer como um componente a mais da analgesia multimodal, pois ainda oferece analgesia para a pele, o subcutâneo e o peritônio parietal, mas não é eficaz para o controle da dor visceral. 47,48 Por causa das diferentes técnicas e das diversas intervenções em que tem sido usado, as indicações para o TAP ecoguiado não são determinadas. 49 O objetivo desta revisão é determinar a eficácia do TAP ecoguiado nas diferentes intervenções cirúrgicas nas quais ECR têm sido feitos com o TAP ecoguiado, perceber como isso afeta a analgesia, assim como determinar as indicações de acordo com as abordagens, a influência desses, do tempo de realização do TAP e da dose e do tipo de AL usados; e também a presença ou a ausência de complicações e a avaliação ou não do nível de bloqueio sensitivo.…”

Section: Introductionunclassified

Eficácia analgésica do bloqueio ecoguiado do plano transverso do abdome – revisão sistemática

Ripollés

Mezquita

Abad

et al. 2015

Brazilian Journal of Anesthesiology

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The TAP have been shown to be an effective technique in colorectal surgery, cesarean section, cholecystectomy, hysterectomy, appendectomy, donor nephrectomy, retropubic prostatectomy, and bariatric surgery. However, the data found in RCT are not conclusive, and as a result, it is necessary to develop new and well designed RCT, with enough statistical power to compare different approaches, drugs, doses, and volumes for the same intervention, aiming to answer the current questions and their effects in the habitual clinical practice.

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Subcostal Transversus Abdominis Plane Block for Postoperative Analgesia in Liver Transplant Recipients

Cited by 55 publications

References 9 publications

Analgesic efficacy of ultrasound-guided subcostal transversus abdominis plane block

Analgesic efficacy of ultrasound-guided subcostal transversus abdominis plane block

Ultrasound-guided transversus abdominis plane blocks for patients undergoing laparoscopic hand-assisted nephrectomy: a randomized, placebo-controlled trial

Eficácia analgésica do bloqueio ecoguiado do plano transverso do abdome – revisão sistemática

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