Transversus abdominis plane block as a component of multimodal analgesia for laparoscopic cholecystectomy

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dc.contributor.authorOksar, Menekse
dc.contributor.authorKoyuncu, Onur
dc.contributor.authorTurhanoglu, Selim
dc.contributor.authorTemiz, Muhyittin
dc.contributor.authorOran, Mustafa Cemil
dc.date.accessioned2024-09-18T20:29:29Z
dc.date.available2024-09-18T20:29:29Z
dc.date.issued2016
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjective: To evaluate and compare intercostal-iliac transversus abdominis plane (TAP) and oblique sub costal TAP (OSTAP) blocks for multimodal analgesia in patients receiving laparoscopic cholecystectomy. Design: A prospective, randomized, double-blinded clinical study. Setting: Operating room, postoperative recovery area, and ward. Patients: In total, 60 laparoscopic cholecystectomy patients (43 women, 17 men, American Society of Anesthesiologists grades I-II) were enrolled from the general surgery department of our tertiary care center. Intervention: The patients were assigned to 1 of the 3 groups. Group 1 received TAP blocks (n = 20), group 2 received OSTAP blocks (n = 20), and group 3 patients were used as controls and received patient-controlled analgesia (PCA) only (n = 20). After the induction of anesthesia, blocks were performed bilaterally in study groups 1 and 2, using 20 mL of lidocaine (5 mg/mL). PCA with intravenous tramadol was routinely provided for all patients during the first 24 hours. Measurements: The intraoperative use of remifentanil, postoperative visual analog scale (VAS) scores, demand for PCA, and total analgesic consumption were recorded. Main Results: The patients in the control group had greater analgesic demands and analgesic consumption than did those in groups 1 and 2. However, patients in the OSTAP group had lower VAS scores than did those in groups 1 and 3. Results: The demand for analgesia was greater in the control group than in groups 1 and 2. Moreover, lower VAS scores were recorded in the OSTAP group than in groups 1 and 3 and were positively correlated with total PCA consumption among all patients. However, postoperative VAS scores were negatively correlated with the total intraoperative consumption of remifentanil at 24 hours. Conclusions: TAP and OSTAP blocks improved postoperative analgesia in patients receiving laparoscopic cholecystectomy, which resulted in lower VAS scores and reduction in total analgesic consumption. (C) 2016 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jclinane.2016.03.033
dc.identifier.endpage78en_US
dc.identifier.issn0952-8180
dc.identifier.issn1873-4529
dc.identifier.pmid27687350en_US
dc.identifier.scopus2-s2.0-84964607549en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage72en_US
dc.identifier.urihttps://doi.org/10.1016/j.jclinane.2016.03.033
dc.identifier.urihttps://hdl.handle.net/20.500.12483/10880
dc.identifier.volume34en_US
dc.identifier.wosWOS:000384952700015en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal of Clinical Anesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLaparoscopic cholecystectomyen_US
dc.subjectOblique subcostal transversus abdominis plane blocken_US
dc.subjectTransversus abdominis plane blocken_US
dc.titleTransversus abdominis plane block as a component of multimodal analgesia for laparoscopic cholecystectomyen_US
dc.typeArticleen_US

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