Ultrasound-guided transversus abdominis plane (TAP) block for laparoscopic gastric-bypass surgery:a prospective randomized controlled double-blinded trial.

Détails

ID Serval
serval:BIB_55CD63A95311
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Ultrasound-guided transversus abdominis plane (TAP) block for laparoscopic gastric-bypass surgery:a prospective randomized controlled double-blinded trial.
Périodique
Obesity Surgery
Auteur(s)
Albrecht E., Kirkham K.R., Endersby R.V., Chan V.W., Jackson T., Okrainec A., Penner T., Jin R., Brull R.
ISSN
1708-0428 (Electronic)
ISSN-L
0960-8923
Statut éditorial
Publié
Date de publication
2013
Volume
23
Numéro
8
Pages
1309-1314
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Résumé
BACKGROUND: Despite the laparoscopic approach, patients can suffer moderate to severe pain following bariatric surgery. This randomized controlled double-blinded trial investigated the analgesic efficacy of ultrasound-guided transversus abdominis plane (TAP) blocks for laparoscopic gastric-bypass surgery.
METHODS: Seventy patients undergoing laparoscopic gastric-bypass surgery were randomized to receive either bilateral ultrasound-guided subcostal TAP block injections after induction of general anesthesia or none. All patients received trocar insertion site local anesthetic infiltration and systemic analgesia. The primary outcome was cumulative opioid consumption (IV morphine equivalent) during the first 24 h postoperatively. Interval opioid consumption, pain severity scores, rates of nausea or vomiting, and rates of pruritus were measured during phase I recovery, and at 24 and 48 h postoperatively.
RESULTS: There was no difference in cumulative opioid consumption during the first 24 h postoperatively between the TAP (32.2 mg [95% CI, 27.6-36.7]) and control (35.6 mg [95% CI, 28.6-42.5]; P = 0.41) groups. Postoperative opioid consumptions during phase I recovery and the 24-48-h interval were similar between groups, as were pain scores at rest and with movement during all measured intervals. The rates of nausea or vomiting and pruritus were equivalent.
CONCLUSIONS: Bilateral TAP blocks do not provide additional analgesic benefit when added to trocar insertion site local anesthetic infiltration and systemic analgesia for laparoscopic gastric-bypass surgery.
Pubmed
Web of science
Création de la notice
10/12/2013 16:52
Dernière modification de la notice
20/08/2019 15:10
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