The Efficacy of Ultrasound-Guided Bilateral Transversus Abdominal Plane (TAP) Block in Decreasing the Pain After Laparoscopic Cholecystectomy: A Randomized Clinical Trial
Journal Title: Journal of Medical Research and Surgery - Year 2021, Vol 2, Issue 5
Abstract
Introduction: Pain after laparoscopic cholecystectomy is complex in nature and several methods are performed to control it. Transversus Abdominis Plane (TAP) block has been used for postoperative pain for some abdominal surgeries. This study was designed to determine the analgesic efficacy of bilateral TAP block for patients undergoing Laparoscopic Cholecystectomy. Methods: Forty-two patients were randomized into 2 groups. Group 1 received TAP block using bupivacaine 0.25% (n=21), and group 2 received TAP block using saline. Before extubation, blocks were performed bilaterally. Tramadol IV was given for breakthrough pain for the first 24 hours. Pain scores using the visual analog scale (VAS) at 0, 1, 2, 4 ,8 ,12, 24 hour-intervals, number of patient demand for Tramadol and patient satisfaction were collected. Results: Patients in the control group have higher VAS scores both during rest and on movement. However, pain was significantly reduced only on the 2nd hour at rest and on the 1st to 4th hours on movement among patients who received Bupivacaine 0.25% on TAP block. Furthermore, there was no significant difference in the requirement for rescue analgesics (p=0.1160) and the satisfaction rate (p=0.2849) between the two groups. Conclusion: TAP block is safe and improved postoperative analgesia in patients receiving laparoscopic cholecystectomy. But its additional analgesic effect in the presence of a dynamic multimodal pain-control regimen is probably rather small and need further investigation in laparoscopic cholecystectomy.
Authors and Affiliations
Lina May Osit*, Joseph Joven Gammad, Olivia C. Flores
Keywords
Related Articles
- EP ID EP697648
- DOI 10.52916/jmrs214058
- Views 138
- Downloads 0
Risk Factors for Secondary Postpartum Haemorrhage: A Retrospective Study
Background: Secondary Postpartum Haemorrhage (SPPH) refers to any abnormal vaginal bleeding between 24 hours to 6 weeks postpartum. SPPH is a relatively unexplored issue and there is limited evidence, especially regardin...
Glaucoma Progressing Stage Estimated from Visual Field Test Data with Glaucoma Patient; and Zinc(II) Induced Regenerative Activity from Optic Nerve Damage
Glaucoma progressing stages (Stages 1～5) estimated from Visual Field Index (VFI); Mean Deviation (MD); and Pattern Standard Deviation (PSD) data has been elucidated; in which the glaucomatous pathology is in the proceed...
Disease Pattern of Geriatric People of the Host Community in Cox's Bazar, Bangladesh
Introduction: Diseases of elder people are a global problem. The prevalence of disease in elderly people is increasing day by day as old people often have limited regenerative abilities and are more susceptible to diseas...
Context Within Which Female Same-Sex Develops and Practiced in Tanzania: Qualitative Study among Women Who Have Sex with Women in Dar-es-Salaam City
Background: Homosexual identification among women as lesbian, bisexual or transgender does not encompass the whole pool of women who practice same-sex behavior. Straight women especially youths are more increasingly will...
GalSafe Pig Organ Xenotransplantation: A Bright Future for More than 800,000 Americans
Over 54 percent of US citizens are registered as organ donors, however, fewer than 1 percent of deaths result in useable organs [1]. By a large margin, kidneys are the most commonly transplanted organ, followed by liver,...