Combined subcostal and posterior transversus abdominis plane block for postoperative pain relief after abdominoplasty
Abdominoplasty is a common aesthetic surgery. Adequate pain management during the postoperative period is of great importance. Previous studies have failed to achieve safe and reliable effective analgesic techniques beyond the recovery room. This research aims to investigate the outcome of the abdominoplasty operation for the patients' received transversus abdominis plan block in comparison with the non-blocked patients.
58 patients, undergoing elective abdominoplasty, received general anesthesia. Patients were randomly assigned to two equal groups of 29 patients each. Combined subcostal and posterior transversus abdominis plane block group and non-blocked group. For both groups, the standard postoperative analgesic regimen consisted of IV Paracetamol 1 g every 6 hours. Values of visual analog scale values were recorded every 4 hours postoperatively, once the patient had a visual analog scale ≥ 6, IV narcotics administered and visual analog scale recorded every 30 min till pain improved.
there’s a significant difference between both groups regarding the visual analog scale data, patient ambulation, patients’ need for postoperative mechanical ventilatory support, and also the dosage of narcotics used.
Transversus abdominis plane block is a promising regional anesthetic technique for postoperative pain relief in abdominoplasty surgery, it offers a longer postoperative analgesic effect duration and fewer analgesic requirements with less postoperative complications.
Figure 1
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it's amazing research my question is there are limitations or difficulties to proceed Ultrasound-Guided Abdominal wall Block after all fluids of liposuction filtration and presence of drains also the dressing you mentioned it was kept before proceeding the block thanks
On 31 Dec, 2020
Posted 12 Jun, 2020
Combined subcostal and posterior transversus abdominis plane block for postoperative pain relief after abdominoplasty
On 31 Dec, 2020
Posted 12 Jun, 2020
Abdominoplasty is a common aesthetic surgery. Adequate pain management during the postoperative period is of great importance. Previous studies have failed to achieve safe and reliable effective analgesic techniques beyond the recovery room. This research aims to investigate the outcome of the abdominoplasty operation for the patients' received transversus abdominis plan block in comparison with the non-blocked patients.
58 patients, undergoing elective abdominoplasty, received general anesthesia. Patients were randomly assigned to two equal groups of 29 patients each. Combined subcostal and posterior transversus abdominis plane block group and non-blocked group. For both groups, the standard postoperative analgesic regimen consisted of IV Paracetamol 1 g every 6 hours. Values of visual analog scale values were recorded every 4 hours postoperatively, once the patient had a visual analog scale ≥ 6, IV narcotics administered and visual analog scale recorded every 30 min till pain improved.
there’s a significant difference between both groups regarding the visual analog scale data, patient ambulation, patients’ need for postoperative mechanical ventilatory support, and also the dosage of narcotics used.
Transversus abdominis plane block is a promising regional anesthetic technique for postoperative pain relief in abdominoplasty surgery, it offers a longer postoperative analgesic effect duration and fewer analgesic requirements with less postoperative complications.
Figure 1
it's amazing research my question is there are limitations or difficulties to proceed Ultrasound-Guided Abdominal wall Block after all fluids of liposuction filtration and presence of drains also the dressing you mentioned it was kept before proceeding the block thanks