Transversus abdominis plane block for postoperative analgesia in neonates and young infants: retrospective analysis of a case series

Kendigelen, Pınar; Tütüncü, Çiğdem; Ashyralyyeva, Gulruh; Özcan, Rahşan; Emre, Şenol; Altındaş, Fatiş; Kaya, Güner

doi:10.23736/s0375-9393.16.11420-8

Cited by 7 publications

(3 citation statements)

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“…Our study is the first RCT to compare QL and TAP blocks in infants. 17 In the present study, none of our patients had regional anesthesia failure or complications. However, long-term follow-up was not performed and complications were only recorded for 24 h postoperatively.…”

Section: Discussionmentioning

confidence: 49%

Comparison of Postoperative Analgesic Efficacy Between Ultrasonography-Guided Quadratus Lumborum and Transversus Abdominis Plane Blocks in Infants Undergoing Inguinal Hernia Surgery: Randomized Controlled Trial

Sayin¹,

Türk²,

Altınay³

et al. 2022

Turkiye Klinikleri J Med Sci

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ABS TRACT Objective:We compared the analgesic efficacy of ultrasonography (USG)-guided quadratus lumborum (QL) and transversus abdominis plane (TAP) blocks in infants undergoing elective unilateral inguinal hernia surgery (IHS). Material and Methods: This single-center, randomized, single-blind, 2-arm clinical trial included 60 infants undergoing elective IHS (aged 1 month to 1 year) with ASA I-II. The patients were randomized into QL block (Group A) and TAP block (Group B) groups. For both groups, 0.3 mL/kg of 0.25% bupivacaine was injected under USG guidance. Age, sex, weight, anesthesia duration (min), surgery duration (min), and recovery duration (min) were recorded. The heart rate (HR) was recorded at baseline, after anesthesia induction, and at 15 and 30 min after the blocks. Postoperatively, patients were evaluated based on their Face, Legs, Activity, Cry, and Consolability (FLACC) scores at 0, 1, 2, 6, 12, and 24 h. We also recorded the first analgesic duration, analgesic requirement, rescue analgesic requirement, and complications. The primary outcome of the study was FLACC score. Results: Sixty patients completed the study protocol. There were no significant differences between the groups in terms of age, sex, weight, anesthesia duration, surgery duration, recovery duration, or FLACC score or HR in the first 24 h postoperatively. The analgesic requirement, first analgesic requirement time, and rescue analgesic requirement were not significantly different between the groups (p>0.05 for all comparisons). Conclusions: QL and TAP blocks showed similar analgesic efficacy in infants undergoing IHS.

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Section: Discussionmentioning

confidence: 49%

Comparison of Postoperative Analgesic Efficacy Between Ultrasonography-Guided Quadratus Lumborum and Transversus Abdominis Plane Blocks in Infants Undergoing Inguinal Hernia Surgery: Randomized Controlled Trial

Sayin¹,

Türk²,

Altınay³

et al. 2022

Turkiye Klinikleri J Med Sci

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“…Kendigelen et al demonstrated that TTPB has a duration of more than 48 h because it is one of the interfascial blocks known for prolonging analgesia. 10 …”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Analgesic Efficacy of Bilateral Ultrasound-Guided Transversus Thoracic Muscle Plane Block on Post-Sternotomy Pain: A Randomized Controlled Trial

Shokri¹,

Ali²,

Kasem³

2021

LRA

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“…Transversus thoracic muscle plane blocks (TTMPBs) were introduced in 2015 12 and have been shown to prolong analgesia for more than 48 h 13 . Clinical trials have found TTMPB provides effective analgesia for breast resection surgery 12 , 14 , cardiac device implantation 15 , internal fixation of sternal fractures 16 , and chronic sternal pain 17 , 18 .…”

Section: Introductionmentioning

confidence: 99%

Transversus thoracic muscle plane block for pain during cardiac surgery: a systematic review and meta-analysis

Xue

Cui

Busse

et al. 2023

International Journal of Surgery

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Study Objective: The role of transversus thoracic muscle plane blocks (TTMPBs) during cardiac surgery is controversial. We conducted a systematic review to establish the effectiveness of this procedure. Design: Systematic review. We searched PubMed, Embase, Web of Science, CENTRAL, WanFang Data, and the China National Knowledge Infrastructure to June 2022, and followed the GRADE approach to evaluate the certainty of evidence. Study Eligibility Criteria: Eligible studies enrolled adult patients scheduled to undergo cardiac surgery and randomized them to receive a TTMPB or no block/sham block. Main Results: Nine trials that enrolled 454 participants were included. Compared to no block/sham block, moderate certainty evidence found that TTMPB probably reduces postoperative pain at rest at 12 h [weighted mean difference (WMD) −1.51 cm on a 10 cm visual analogue scale for pain, 95% CI −2.02 to −1.00; risk difference (RD) for achieving mild pain or less (≤3 cm), 41%, 95% CI 17–65) and 24 h (WMD −1.07 cm, 95% CI −1.83 to −0.32; RD 26%, 95% CI 9–37). Moderate certainty evidence also supported that TTMPB probably reduces pain during movement at 12 h (WMD −3.42 cm, 95% CI −4.47 to −2.37; RD 46%, 95% CI 12–80) and at 24 h (WMD −1.73 cm, 95% CI −3.24 to −0.21; RD 32%, 95% CI 5–59), intraoperative opioid use [WMD −28 milligram morphine equivalent (MME), 95% CI −42 to −15], postoperative opioid consumption (WMD −17 MME, 95% CI −29 to −5), postoperative nausea and vomiting (absolute risk difference 255 less per 1000 persons, 95% CI 140–314), and intensive care unit (ICU) length of stay (WMD −13 h, 95% CI −21 to −6). Conclusion: Moderate certainty evidence showed TTMPB during cardiac surgery probably reduces postoperative pain at rest and with movement, opioid consumption, ICU length of stay, and the incidence of nausea and vomiting.

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Transversus abdominis plane block for postoperative analgesia in neonates and young infants: retrospective analysis of a case series

Cited by 7 publications

References 0 publications

Comparison of Postoperative Analgesic Efficacy Between Ultrasonography-Guided Quadratus Lumborum and Transversus Abdominis Plane Blocks in Infants Undergoing Inguinal Hernia Surgery: Randomized Controlled Trial

Comparison of Postoperative Analgesic Efficacy Between Ultrasonography-Guided Quadratus Lumborum and Transversus Abdominis Plane Blocks in Infants Undergoing Inguinal Hernia Surgery: Randomized Controlled Trial

Evaluation of the Analgesic Efficacy of Bilateral Ultrasound-Guided Transversus Thoracic Muscle Plane Block on Post-Sternotomy Pain: A Randomized Controlled Trial

Transversus thoracic muscle plane block for pain during cardiac surgery: a systematic review and meta-analysis

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