Transversus abdominis plane block in robotic gynecologic oncology: A randomized, placebo-controlled trial

Hotujec, B.T.; Spencer, Ryan; Donnelly, Michael; Bruggink, Sean M.; Rose, Stephen L.; Al-Niaimi, Ahmed; Chappell, Richard J.; Stewart, S.; Kushner, David M.

doi:10.1016/j.ygyno.2014.11.013

Cited by 36 publications

(26 citation statements)

References 39 publications

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“…Recently, Hotujec et al evaluated the effect of a unilateral TAP block with 0.25% bupivacaine and epinephrine compared to a unilateral sham TAP block on postoperative opioid use in patients undergoing robotic hysterectomy [20]. There was no difference between the two interventions in that study however, the mean morphine use in the first 24 h was 64.9 mg morphine equivalents in the TAP group and 69.3 mg Morphine equivalents in the sham block group.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound guided subcostal transversus abdominis plane (TAP) infiltration with liposomal bupivacaine for patients undergoing robotic assisted hysterectomy: A prospective randomized controlled study

Hutchins

Delaney

Vogel

et al. 2015

Gynecologic Oncology

100

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Introduction Optimal pain control after major surgery contributes to a patient’s recovery and satisfaction. The use of liposomal bupivacaine in subcostal transversus abdominis plane (TAP) blocks for postoperative pain control after robot assisted abdominal surgery has yet to be studied. Methods We conducted a prospective randomized controlled observer-blinded study comparing bilateral subcostal TAP blocks with bupivacaine to bilateral subcostal TAP blocks with liposomal bupivacaine. These were performed prior to the patient undergoing robot assisted hysterectomy. The patients’ pain scores, opioid use, side effects, and satisfaction were followed for 72 h after injection. Results Total opioid use in the first 72 h after injection was significantly decreased in the group that received liposomal bupivacaine compared to bupivacaine. Patients in the liposomal bupivacaine group had significantly lower maximal pain scores at all time periods studied as well as decreased incidence of nausea/vomiting. There was a trend toward decreased length of stay in the liposomal bupivacaine group. Conclusion Subcostal TAP blocks with liposomal bupivacaine decreased the total opioid requirement for the first 72 h after robot assisted hysterectomy when compared to subcostal TAP blocks with bupivacaine.

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Section: Discussionmentioning

confidence: 99%

Ultrasound guided subcostal transversus abdominis plane (TAP) infiltration with liposomal bupivacaine for patients undergoing robotic assisted hysterectomy: A prospective randomized controlled study

Hutchins

Delaney

Vogel

et al. 2015

Gynecologic Oncology

100

View full text Add to dashboard Cite

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“…After manual review, only reports of bleeding or aneurysmal complications and visceral or peritoneal injury were retained, yielding 16 relevant publications. [72][73][74][75][76][77][78][79][80][81][82][83][84][85][86][87] The reported complications from these articles are summarized in Table 8. A majority of the studies that prospectively examined complications following interfascial blocks were unclear in their approach to measurement and were excluded because data was lacking.…”

Section: Evidence Reviewmentioning

confidence: 99%

Practice advisory on the bleeding risks for peripheral nerve and interfascial plane blockade: evidence review and expert consensus

Tsui

Kirkham

Kwofie

et al. 2019

Can J Anesth/J Can Anesth

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The risk of bleeding complications during regional anesthesia procedures is a significant patient safety consideration. Nevertheless, existing literature provides limited guidance on the stratification of bleeding risk for peripheral nerve and newly described interfascial plane blocks. Our objective was to produce an evidencebased consensus advisory that classifies bleeding risks in This article is accompanied by an editorial.

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“…A systematic review on peripherally applied opioids for postoperative pain has revealed that all 26 studies that were identified (7 of which focused on OB/GYN surgical interventions) used the VAS to assess pain (Nielsen et al, 2015). The VAS was used to assess postoperative pain in women with benign gynaecologic disease (Eom et al, 2013) and with gynaecologic cancer (Hotujec et al, 2015). In the Czech Republic (CR), the VAS was used in a study on pain in women after a Caesarean section (Štourač et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

The performance of three pain intensity scales and their preferences among Czech women with acute postoperative pain

Mandysová¹,

Kadlečková²

2015

Cent Eur J Nurs Midw

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Aim: The first aim was to compare the performance of three pain intensity scales, the combined Visual Analogue Scale / Numerical Rating Scale (VAS/NRS), NRS, and Faces Pain Scale-Revised (FPS-R), in Czech women in the Obstetrics & Gynaecology Intensive Care Unit. The second aim was to compare the women's overall pain scale preference rankings and preference rankings by education level and age. Design: The design was cross-sectional. Methods: Seventy-four women evaluated their acute postoperative pain using the three pain scales and subsequently ranked them according to ease of responding. The data were described and analysed using descriptive statistics and the Spearman rank order correlation coefficient. Results: Spearman correlations ranged from 0.905 (p < 0.001) between the VAS/NRS and the FPS-R to 0.945 (p < 0.001) between the VAS/NRS and the NRS. As for overall preference, the NRS and the FPS-R were ranked first (n = 32; 43% in both cases). Conclusion: Correlations across all three scales were high. Therefore, the scales appeared equivalent. Overall, preference rankings of the NRS and FPS-R were comparable and were better than those obtained for the VAS/NRS. Therefore, both scales could be recommended for clinical use in the Czech Republic.

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Transversus abdominis plane block in robotic gynecologic oncology: A randomized, placebo-controlled trial

Cited by 36 publications

References 39 publications

Ultrasound guided subcostal transversus abdominis plane (TAP) infiltration with liposomal bupivacaine for patients undergoing robotic assisted hysterectomy: A prospective randomized controlled study

Ultrasound guided subcostal transversus abdominis plane (TAP) infiltration with liposomal bupivacaine for patients undergoing robotic assisted hysterectomy: A prospective randomized controlled study

Practice advisory on the bleeding risks for peripheral nerve and interfascial plane blockade: evidence review and expert consensus

The performance of three pain intensity scales and their preferences among Czech women with acute postoperative pain

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