Jeff Halonen, DO
The Beneficial Effects of
Transverse Abdominid Plane Block After Laparoscopic Cholecystectomy in Day-Case
Durgery: A Randomized Clinical Trial. Premillennialism Lykke Petersen, MD et
al. Anesthesiology. September 2012- Vol 115- Number 3, p 527-533.
Summary
Patients generally have moderate
pain in the early postoperative period following. There have been RCT's that
suggest the use of transversal abdominis block following abdominal surgeries
for analgesia. The purpose of this trial was to see of this TAP block could
decrease the pain with rest and coughing, decrease opioid use and side effects
after laparoscopic cholecystectomies in day-case surgery.
This trial put patients into one
of two categories. One received bilateral TAP block with Ropivicaine while the
other received a placebo block. Their goal was then to see if there was a
difference in the above measures.
What was found was that there was
a difference in the pain scores when coughing and total opioid consumption.
These differences were thought to only be a small difference however.
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