EP.TH.136Does laparoscopic transversus abdominis plane (TAP) block reduce postoperative opioid usage in bariatric patients?
نویسندگان
چکیده
Abstract Introduction Laparoscopic TAP block has been used in various surgical subspecialties to reduce postoperative opioid requirement and hence its side effects. The aim of our study was evaluate the effect laparoscopic bariatric surgery. Methods We performed a retrospective analysis patients who underwent surgery by two surgeons at metropolitan public hospital from January 2019 March 2020. One surgeon routinely (TAP group) with 80ml 0.2% ropivacaine other port-site infiltration (non-TAP either or 0.75% bupivacaine. Patients chronic pain were excluded. Baseline characteristics (age, gender, pre-op BMI, types surgery), usage opioids (in recovery, first 24 hours dosage) length stay (LOS) collected analysed. Results Seventy-nine included this study, which 46 (58.2%) received 33 (41.8%) port site infiltration. Opioid rates lower group: 54.3% (n = 25/46) no recovery 21.7% 21/46) hours, compared 48.5% 16/33) 9.1% 3/33) 24hours non-TAP group. However, there statistically significant difference (p 0.61 p 0.13 respectively) between groups. Mean LOS comparable both Conclusion Our showed non-statistically trend reducing block. Further evaluation prospective randomised controlled trial is warranted.
منابع مشابه
The Transversus Abdominis Plane (TAP) block: Abdominal plane regional anaesthesia
HISTORY OF THE TAP BLOCK Abdominal field blocks and costo-iliac block have been used in anaesthesia for surgery involving the anterior abdominal wall for several decades. A technique involving multiple injections of local anaesthetic in the abdominal wall was used in the 1980s.1 This technique was improved with a blind landmark technique, via the ‘lumbar triangle of Petit’.2 The clinical effica...
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BACKGROUND The transversus abdominis plane block is a promising approach to the provision of postoperative analgesia following abdominal incision. This effective method blocks the sensory nerve supply to the anterior abdominal wall. The authors evaluated its analgesic efficacy over the first 12 postoperative hours after abdominoplasty with liposculpture in a randomized, controlled, double-blind...
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2021
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znab309.020