TAP bloc : réalisation, indications

Berger, J.; Amasse, Linda

doi:10.1016/j.pratan.2010.01.009

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…A blind TAP block was performed on 45 patients in Group A. The mean time to onset of sensory block observed in our study was close to those described in the literature [2,3,4,7]. The success rate our blind TAP block was 95.5%.…”

Section: Discussionsupporting

confidence: 86%

"Feasibility and Postoperative Analgesia of Transversus Abdominis Plane Block in Patients Undergoing Total Abdominal Hysterectomy"

Paul¹

2017

JAICM

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Background: The transversus abdominis plane (TAP) block is a regional anaesthetic technique that provides postoperative analgesia after abdominal surgery. This study was done to evaluate its feasibility and its efficacy on postoperative analgesia in patients undergoing total abdominal hysterectomy in a resource-limited setting. Methods: Ninety women, aged 30 to 68 years, classified ASA I and II, proposed for total abdominal hysterectomy indicated for uterine fibroids, were divided into two groups by randomization. Group A received a blind bilateral TAP block with ropivacaïne (1.5 mg/kg on each side) and after installation of sensory block, the general anaesthesia was carried out with propofol, fentanyl, rocuronium and isoflurane. Group B received only general anaesthesia with the same protocol like in group A. The success rate of TAP block was recorded in group A. In both groups, postoperative pain scores at rest, coughing efforts and postoperative analgesic consumption have been compared. Results: In Group A, the success rate of blind TAP block was 95.5 %. At the complete awakening of the patients, the mean visual analogue scale scores were significantly lower in patients in Group A compared to the patients in Group B (at rest 10.46 ± 0.92 versus 32.05 ± 20.81 mm, p=0.006 and with coughing 23.61 ± 12.04 versus 41.25 ± 18.50 mm, p=0.009). Compared to women in Group B, those in Group A had significantly lower visual analogue scale scores at rest, coughed less during the first 48 hours postoperatively and consumed significantly less ketoprofen (176.47 ± 65.40 mg versus 300.00 ± 41.40 mg, p =0.000) and no morphine (0 mg versus 15.19 ± 3.6, p=0.000). Conclusion: In a resource-limited setting, blind TAP block is feasible and should be practiced because it is easy to achieve. It significantly decreases postoperative pain and reduces the requirement for opioids and other analgesics.

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Section: Discussionsupporting

confidence: 86%

"Feasibility and Postoperative Analgesia of Transversus Abdominis Plane Block in Patients Undergoing Total Abdominal Hysterectomy"

Paul¹

2017

JAICM

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Intraoperative Hemodynamic and Analgesic Effects of Pre-Incisional Transversus Abdominis Plane Block during Total Abdominal Hysterectomy

Paul¹,

Jemea²,

Roddy³

et al. 2017

OJAnes

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Background: The efficacy of transversus abdominis plane (TAP) block has been demonstrated in postoperative analgesia, but few studies have evaluated its intraoperative effects. We aimed to describe the intraoperative hemodynamic and analgesic effects of pre-incisional TAP block in patients undergoing total abdominal hysterectomy. Methods: Seventy women proposed for total abdominal hysterectomy indicated for uterine fibroids, classified ASA I and II were randomized in a double-blinded model to Group A (n = 35) receiving bilateral ultrasound-guided TAP block with ropivacaine and Group B (n = 35) receiving bilateral ultrasound-guided TAP block with normal saline, followed by general anesthesia. The variations of the heart rate (HR) and mean arterial blood pressure (MABP) and intraoperative fentanyl consumption were studied. Results: At the arrival in the operating room, there was no significant difference in heart rate and mean arterial pressure noted in both groups. (HR: 85.38 ± 8.44 pulsations/min versus 86.30 ± 10.05 pulsations/min, p = 0.621; MABP: 94.97 ± 13.46 mmHg versus 96.36 ± 12.41 mmHg, p = 0.533). Before surgical incision, no statistically significant difference was detected between the two groups regarding the heart rate and the mean arterial blood pressure. After surgical incision, both the heart rate and mean arterial blood pressure were significantly higher in the Group B. There was a significant decrease in intraoperative fentanyl requirements in the Group A compared to the Group B (293.58 ± 60.59 mcg versus 449.44 ± 71.31 mcg, p < 0.001). Conclusion: Pre-incisional TAP block attenuates hemodynamic responses to surgical stress and decreases intraoperative fentanyl requirements How to cite this paper:

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TAP bloc : réalisation, indications

Cited by 2 publications

References 21 publications

"Feasibility and Postoperative Analgesia of Transversus Abdominis Plane Block in Patients Undergoing Total Abdominal Hysterectomy"

"Feasibility and Postoperative Analgesia of Transversus Abdominis Plane Block in Patients Undergoing Total Abdominal Hysterectomy"

Intraoperative Hemodynamic and Analgesic Effects of Pre-Incisional Transversus Abdominis Plane Block during Total Abdominal Hysterectomy

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