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首页> 外文期刊>Saudi Journal of Anaesthesia >The analgesic efficacy of ultrasound-guided transversus abdominis plane block for retroperitoneoscopic donor nephrectomy: A randomized controlled study
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The analgesic efficacy of ultrasound-guided transversus abdominis plane block for retroperitoneoscopic donor nephrectomy: A randomized controlled study

机译：超声引导横向腹腔腹腔腹膜腹梗塞腹膜腹肿块的镇痛效果：随机对照研究

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Background: Transversus abdominis plane (TAP) block is suitable for lower abdominal surgeries. Blind TAP block has many complications and uncertainty of its effects. Use of ultrasonography increases the safety and efficacy. This study was conducted to evaluate the analgesic efficacy of ultrasound (USG)-guided TAP block for retroperitoneoscopic donor nephrectomy (RDN). Methods: In a prospective randomized double-blind study, 60 patients undergoing laparoscopic donor nephrectomy were randomly divided into two groups by closed envelope method. At the end of surgery, USG-guided TAP block was given to the patients of both the groups. Study group (group S) received inj. Bupivacaine (0.375%), whereas control group (group C) received normal saline. Inj. Tramadol (1 mg/kg) was given as rescue analgesic at visual analog scale (VAS) more than 3 in any group at rest or on movement. The analgesic efficacy was judged by VAS both at rest and on movement, time tofirst dose of rescue analgesic, cumulative dose of tramadol, sedation score, and nausea score, which were also noted at 30 min, 2, 4, 6, 12, 18, and 24 h postoperatively. Total tramadol consumption at 24 h was also assessed. Results: Patients in group S had significantly lower VAS score, longer time tofirst dose of rescue analgesic (547.13±266.96 min vs. 49.17±24.95 min) and lower tramadol consumption (103.8±32.18 mg vs. 235.8±47.5 mg) in 24 h. Conclusion: The USG-guided TAP block is easy to perform and effective as a postoperative analgesic regimen in RDN, with opioids-sparing effect and without any complications.
机译：背景：横向腹部平面（Tap）块适用于下腹手术。盲接块具有许多并发症和其效果的不确定性。使用超声检查增加了安全性和功效。进行该研究以评估超声（USG） - 指导腹菌供体肾切除术（RDN）的超声波（USG） - 指导抽头块的镇痛效果。方法：在前瞻性随机双盲研究中，通过闭合包络法随机分为两组腹腔镜供体肾切除术的60例。在手术结束时，给予两组患者的USG引导的Tap块。研究小组（群体）收到了INJ。 Bupivacaine（0.375％），而对照组（C组）接受了生理盐水。 inj。曲马多（1mg / kg）作为抢救镇痛药，在视觉模拟（VAS）以休息或运动的任何组中超过3个。镇痛效果在休息和运动中判断，祛氟剂的时间Tofirst剂量的抢救镇痛剂，血肿，镇静剂评分和恶心评分，其在30分钟，2,4,6,12,18中也注明了和24小时术后。还评估了24小时的总曲马多消费量。结果：S组患者显着降低VAS评分，较长时间TOFIRST剂量抢救镇痛剂（547.13±266.96分钟，49.17±24.95分钟）和24小时内的曲马多（103.8±32.18mg） 。结论：USG引导的Tap块易于在RDN中作为术后镇痛方案进行且有效，具有阿片类药物的抑制作用，无论没有任何并发​​症。

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