Ultrasound guided oblique subcostal transversus abdominis plane block: An observational study on a new and promising analgesic technique

Mukherjee, Arghya; Guhabiswas, Rahul; Kshirsagar, Sarang; Rupert, Emmanuel

doi:10.4103/0019-5049.179468

Cited by 12 publications

(8 citation statements)

References 9 publications

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“…The subcostal TAP block was determined to have provided more effective postoperative analgesia in the first 24 h than both the classic TAP block and the control group in laparoscopic cholecystectomies. In another observational study, subcostal TAP block was demonstrated to provide effective postoperative analgesia for the first 24 h in patients undergoing upper abdominal surgery [8].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Ultrasound-Guided Subcostal Transversus Abdominis Plane Block and Quadratus Lumborum Block in Laparoscopic Cholecystectomy: A Prospective, Randomized, Controlled Clinical Study

Baytar

Yılmaz

Karasu

et al. 2019

Pain Research and Management

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Background. The aim of this study was to compare the effectiveness of ultrasound-guided (USG) subcostal transversus abdominis plane (TAP) block and quadratus lumborum (QL) block as preventive analgesia methods after laparoscopic cholecystectomy. Methods. A total of 120 patients, 18–75 years of age, were separated into 2 groups preoperatively. Patients in group TAP (n = 60) received 0.3 ml/kg bupivacaine with USG bilateral subcostal TAP block; patients in group QL (n = 60) received 0.3 ml/kg bupivacaine with USG bilateral QL block. Patients were assessed 24 h postoperatively, and pain scores, time to first analgesia requirement, total analgesia dose, and postoperative complications during the first 24 h were recorded. Results. Fifty-three patients in group TAP and 54 in group QL were ultimately evaluated. No statistically significant difference was found in at rest and dynamic visual analog scale scores between the groups. There was also no statistically significant difference between the groups with regard to total analgesia consumption. Although the duration of anesthesia was significantly longer in group QL, no statistically significant difference was found in the duration of surgery between the groups (p<0.05). Conclusions. Results of this study demonstrated that USG subcostal TAP and QL blocks similarly reduced postoperative pain scores and analgesia consumption, with high patient satisfaction. However, subcostal TAP block could be considered preferable to QL block because it can be applied easily and in a shorter time.

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Section: Discussionmentioning

confidence: 99%

Comparison of Ultrasound-Guided Subcostal Transversus Abdominis Plane Block and Quadratus Lumborum Block in Laparoscopic Cholecystectomy: A Prospective, Randomized, Controlled Clinical Study

Baytar

Yılmaz

Karasu

et al. 2019

Pain Research and Management

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show abstract

“…Although subcostal TAP block has been demonstrated to be successful as a part of multimodal analgesia following various upper abdominal hepatobiliary and gastrointestinal surgeries,[5678] reports on its role as surgical anaesthesia are limited. Hasan et al .…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided bilateral subcostal TAP block for epigastric hernia repair: A case series

et al. 2019

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“…[ 4 ] The needle was inserted after taking all the sterile precautions through the aponeurosis of the external and internal oblique muscles, and the study drug was injected in the fascial plane between the internal and transversus abdominis muscles [ Image1 ]. [ 5 ] Recording of the hemodynamic parameters such as HR, BP, and pulse oximetry were done at 5 min intervals perioperatively, a 10-point numerical pain score was recorded after the block at baseline, at 1 h and then 4 h intervals till 24 h postoperatively, and the time to first analgesia demand from the time of the block were recorded. A numerical pain score more than 3 was treated with Paracetamol 1 gm and a score of more than 6 with tramadol 50 mg intravenously and diclofenac suppository.…”

Section: Methodsmentioning

confidence: 99%

The comparison of effects of fentanyl and dexmedetomidine as adjuvants to ropivacaine for ultrasound-guided transversus abdominis plane block for postoperative pain in cesarean section under spinal anesthesia –A randomized controlled trial

Joseph¹,

Zachariah²,

Abraham³

2020

J Anaesthesiol Clin Pharmacol

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Background and Aims: Transversus abdominis plane (TAP) block has been effectively used for anterior abdominal wall analgesia. The aim of the study was to compare the duration of analgesia produced by two drugs fentanyl and dexmedetomidine as adjuvants to ropivacaine in TAP block under ultrasound-guidance after lower segment cesarean section in a randomized controlled trial. Material and Methods: Sixty-four women of American Society of Anaesthesiologists (ASA) physical status II coming for cesarean sections were randomized to receive TAP blocks on each side of the abdomen using the local anesthetic drug 20 ml of 0.5% ropivacaine with either fentanyl 25 mcg or dexmedetomidine 25 mcg. A ten point numerical pain score was done at baseline, at 1 h and then at intervals of 4 h postoperatively. The hemodynamic parameters such as heart rate, blood pressure, and pulse oximetry were also monitored as above. The time to first analgesia demand from the time of the block and the total analgesic consumption were recorded. The statistical analysis was done by Mann-Whitney U test and the analgesics consumption by using Chi-square test with R software. Results: Our primary end-point was to assess the duration of analgesia produced by fentanyl added to ropivacaine for ultrasound-guided TAP block, which were 125 min with Q1–Q3 as 110–180 and dexmedetomidine 130 min with Q1–Q3 as 105–161 ( P value = 0.47). The amount of analgesics used in the postoperative period in both the groups were analyzed using the Chi-square test not found to have any significant difference between both the groups ( P -value = 0.512). Conclusion: Fentanyl and dexmedetomidine as adjuvants to ropivacaine in ultrasound-guided TAP block were equally effective in both prolongation of analgesia and reducing the total consumption of analgesics.

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Ultrasound guided oblique subcostal transversus abdominis plane block: An observational study on a new and promising analgesic technique

Cited by 12 publications

References 9 publications

Comparison of Ultrasound-Guided Subcostal Transversus Abdominis Plane Block and Quadratus Lumborum Block in Laparoscopic Cholecystectomy: A Prospective, Randomized, Controlled Clinical Study

Comparison of Ultrasound-Guided Subcostal Transversus Abdominis Plane Block and Quadratus Lumborum Block in Laparoscopic Cholecystectomy: A Prospective, Randomized, Controlled Clinical Study

Ultrasound-guided bilateral subcostal TAP block for epigastric hernia repair: A case series

The comparison of effects of fentanyl and dexmedetomidine as adjuvants to ropivacaine for ultrasound-guided transversus abdominis plane block for postoperative pain in cesarean section under spinal anesthesia –A randomized controlled trial

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