scholarly journals Ultrasound-Guided Unilateral Transversus Abdominis Plane Combined with Rectus Sheath Block versus Subarachnoid Anesthesia in Patients Undergoing Peritoneal Dialysis Catheter Surgery: A Randomized Prospective Controlled Trial

2020 ◽  
Vol Volume 13 ◽  
pp. 2279-2287
Author(s):  
Ji Li ◽  
Wenjing Guo ◽  
Wei Zhao ◽  
Xiang Wang ◽  
Wenmin Hu ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Controlled Trial ◽  
Rectus Sheath ◽  
Transversus Abdominis ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Transversus Abdominis Plane ◽  
Ultrasound Guided ◽  
Rectus Sheath Block

scholarly journals Effect of ultrasound-guided transversus abdominis plane block with rectus sheath block on patients undergoing laparoscopy-assisted radical resection of rectal cancer: a randomized, double-blind, placebo-controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Min Liang ◽  
Xia Xv ◽  
Chunguang Ren ◽  
Yongxing Yao ◽  
Xiujuan Gao
Keyword(s):  
Rectal Cancer ◽  
Controlled Trial ◽  
Rectus Sheath ◽  
Radical Resection ◽  
Transversus Abdominis ◽  
Control Group ◽  
Transversus Abdominis Plane ◽  
Ultrasound Guided ◽  
Double Blind ◽  
Rectus Sheath Block

Abstract Background Many patients complain of pain following laparoscopic surgery. Clinicians have used ultrasound-guided posterior transversus abdominis plane block (TAPB) and rectus sheath block (RSB) for multimodal analgesia after surgery. We investigated the analgesic effects of US-guided posterior TAPB with RSB on postoperative pain following laparoscopy-assisted radical resection of early-stage rectal cancer. Methods Seventy-eight adults scheduled for laparoscopy-assisted radical resection of rectal cancer were enrolled in this double-blind placebo-controlled trial. Patients were randomized into 3 groups: the TR Group underwent US-guided bilateral posterior TAPB (40 mL 0.33% ropivacaine) with RSB (20 mL 0.33% ropivacaine); the T Group underwent US-guided bilateral posterior TAPB alone; and the Control Group received saline alone. All patients also had access to patient-controlled intravenous analgesia (PCIA) with sufentanil. The primary outcome was postoperative sufentanil consumption at 0–24, 24–48, and 48–72 h. The secondary outcomes were postoperative pain intensity and functional activity score at rest and while coughing for the same three time periods, intraoperative medication dosage, use of rescue analgesia, recovery parameters, and adverse effects. Results The three groups had no significant differences in baseline demographic and perioperative data, use of intraoperative medications, recovery parameters, and adverse effects. The TR group had significantly lower postoperative use of PCIA and rescue analgesic than in the other two groups (P < 0.05), but the Control Group and T Group had no significant differences in these outcomes. Conclusions Postoperative US-guided posterior TAPB with RSB reduced postoperative opioid use in patients following laparoscopy-assisted radical resection of rectal cancer. Trial registration The trial was registered with chictr.org (ChiCTR2000029326) on January 25, 2020.

scholarly journals Effect of ultrasound-guided transversus abdominis plane block with rectus sheath block on patients undergoing laparoscopy-assisted radical resection of rectal cancer: a randomized, double-blind, placebo-controlled trial

2020 ◽  
Author(s):  
Min Liang ◽  
Xia Xv ◽  
Chunguang Ren ◽  
Yongxing Yao ◽  
Xiujuan Gao
Keyword(s):  
Controlled Trial ◽  
Rectus Sheath ◽  
Radical Resection ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Control Group ◽  
Transversus Abdominis Plane ◽  
Ultrasound Guided ◽  
Double Blind ◽  
Rectus Sheath Block

Abstract BackgroundMany patients complain of pain following laparoscopic surgery. Clinicians have used ultrasound-guided posterior transversus abdominis plane block (TAPB) and rectus sheath block (RSB) for multimodal analgesia after surgery. We investigated the analgesic effects of US-guided posterior TAPB with RSB on postoperative pain following laparoscopy-assisted radical resection of early-stage rectal cancer.MethodsSeventy-eight adults scheduled for laparoscopy-assisted radical resection of rectal cancer were enrolled in this double-blind placebo-controlled trial. Patients were randomized into 3 groups: the TR Group underwent US-guided bilateral posterior TAPB (40 mL 0.33% ropivacaine) with RSB (20 mL 0.33% ropivacaine); the T Group underwent US-guided bilateral posterior TAPB alone; and the Control Group received saline alone. All patients also had access to patient-controlled intravenous analgesia (PCIA) with sufentanil. The primary outcome was postoperative sufentanil consumption at 0–24, 24–48, and 48–72 h. The secondary outcomes were postoperative pain intensity and functional activity score at rest and while coughing for the same three time periods, intraoperative medication dosage, use of rescue analgesia, recovery parameters, and adverse effects.ResultsThe three groups had no significant differences in baseline demographic and perioperative data, use of intraoperative medications, recovery parameters, and adverse effects. The TR group had significantly lower postoperative use of PCIA and rescue analgesic than in the other two groups (P < 0.05), but the Control Group and T Group had no significant differences in these outcomes.ConclusionsPostoperative US-guided posterior TAPB with RSB reduced postoperative opioid use in patients following laparoscopy-assisted radical resection of rectal cancer.Trial registrationThe trial was registered with chictr.org (ChiCTR2000029326) on January 25, 2020.

Transversus abdominis plane block as the primary anesthetic for peritoneal dialysis catheter surgery

2016 ◽  
Vol 31 ◽  
pp. 182-188 ◽  
Author(s):  
Daryl S. Henshaw ◽  
Matthew L. Baker ◽  
Robert S. Weller ◽  
Jon Wellington Reynolds ◽  
Jonathan Douglas Jaffe
Keyword(s):  
Peritoneal Dialysis ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Transversus Abdominis Plane
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