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The combination of transversus abdominis plane block and rectus sheath block reduced postoperative pain after splenectomy: a randomized trial
Wei Gao
Corresponding Author
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This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Anesthesiology.
Background: Splenectomy performed with a curved incision results in severe postoperative pain. The aim of this study was to evaluate the effect of transversus abdominis plane block and rectus sheath block on postoperative pain relief and recovery. M ethods: A total of 150 patients were randomized into the control (C), levobupivacaine (L) and levobupivacaine / morphine (LM) groups. The patients in the C group received only patient-controlled analgesia. The patients in the L and LM groups received transversus abdominis plane block and rectus sheath block with levobupivacaine or levobupivacaine plus morphine. The intraoperative opioid consumption; postoperative pain score; time to first analgesic use; postoperative recovery data, including the times of first exhaust, defecation, oral intake and off-bed activity; the incidence of postoperative nausea and vomiting and antiemetics use; and the satisfaction score were recorded. Results: Transversus abdominis plane block and rectus sheath block reduced intraoperative opioid consumption. The patients in the LM group showed lower postoperative pain scores, opioid consumption, postoperative nausea and vomiting incidence and antiemetic use and presented shorter recovery times and higher satisfaction scores. Conclusions: The combination of transversus abdominis plane block and rectus sheath block with levobupivacaine and morphine can improve postoperative pain relief, reduce the consumption of analgesics, and partly accelerate postoperative recovery.
Keywords
Splenectomy, transversus abdominis plane block, rectus sheath block
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CURRENT STATUS: Published
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Posted 16 Jan, 2020
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On 23 Jan, 2020
No community comments so far
Submission checks complete
On 14 Jan, 2020
Editorial decision: Accept
On 14 Jan, 2020
No comments provided
Editorial decision: Minor revision
On 10 Jan, 2020
Reviewer #1 agreed
On 04 Jan, 2020
Review #1 received
Received 04 Jan, 2020
Reviewers invited
Invitations sent on 03 Jan, 2020
Editor assigned
On 25 Dec, 2019
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On 24 Dec, 2019
Editor invited
On 24 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 13 Dec, 2019
Review #2 received
Received 12 Dec, 2019
Reviewer #2 agreed
On 07 Dec, 2019
Review #1 received
Received 07 Dec, 2019
Reviewer #1 agreed
On 06 Dec, 2019
Reviewers invited
Invitations sent on 03 Dec, 2019
Editor assigned
On 01 Dec, 2019
Submission checks complete
On 30 Nov, 2019
Editor invited
On 30 Nov, 2019
No comments provided
Editorial decision: Major revision
On 12 Nov, 2019
Review #2 received
Received 08 Nov, 2019
Reviewer #2 agreed
On 05 Nov, 2019
Review #1 received
Received 13 Oct, 2019
Reviewer #1 agreed
On 25 Sep, 2019
Reviewers invited
Invitations sent on 20 Sep, 2019
Editor assigned
On 03 Sep, 2019
Submission checks complete
On 28 Aug, 2019
Editor invited
On 28 Aug, 2019
First submitted
On 19 Aug, 2019
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PDF Downloads: ...
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Subject Areas
Anesthesiology & Pain Medicine
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This preprint is under consideration at BMC Anesthesiology. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
The combination of transversus abdominis plane block and rectus sheath block reduced postoperative pain after splenectomy: a randomized trial
Wei Gao
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 4
Posted 16 Jan, 2020
Published
On 23 Jan, 2020
No community comments so far
Submission checks complete
On 14 Jan, 2020
Editorial decision: Accept
On 14 Jan, 2020
No comments provided
Editorial decision: Minor revision
On 10 Jan, 2020
Reviewer #1 agreed
On 04 Jan, 2020
Review #1 received
Received 04 Jan, 2020
Reviewers invited
Invitations sent on 03 Jan, 2020
Editor assigned
On 25 Dec, 2019
Submission checks complete
On 24 Dec, 2019
Editor invited
On 24 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 13 Dec, 2019
Review #2 received
Received 12 Dec, 2019
Reviewer #2 agreed
On 07 Dec, 2019
Review #1 received
Received 07 Dec, 2019
Reviewer #1 agreed
On 06 Dec, 2019
Reviewers invited
Invitations sent on 03 Dec, 2019
Editor assigned
On 01 Dec, 2019
Submission checks complete
On 30 Nov, 2019
Editor invited
On 30 Nov, 2019
No comments provided
Editorial decision: Major revision
On 12 Nov, 2019
Review #2 received
Received 08 Nov, 2019
Reviewer #2 agreed
On 05 Nov, 2019
Review #1 received
Received 13 Oct, 2019
Reviewer #1 agreed
On 25 Sep, 2019
Reviewers invited
Invitations sent on 20 Sep, 2019
Editor assigned
On 03 Sep, 2019
Submission checks complete
On 28 Aug, 2019
Editor invited
On 28 Aug, 2019
First submitted
On 19 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Anesthesiology & Pain Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Anesthesiology.
Background: Splenectomy performed with a curved incision results in severe postoperative pain. The aim of this study was to evaluate the effect of transversus abdominis plane block and rectus sheath block on postoperative pain relief and recovery. M ethods: A total of 150 patients were randomized into the control (C), levobupivacaine (L) and levobupivacaine / morphine (LM) groups. The patients in the C group received only patient-controlled analgesia. The patients in the L and LM groups received transversus abdominis plane block and rectus sheath block with levobupivacaine or levobupivacaine plus morphine. The intraoperative opioid consumption; postoperative pain score; time to first analgesic use; postoperative recovery data, including the times of first exhaust, defecation, oral intake and off-bed activity; the incidence of postoperative nausea and vomiting and antiemetics use; and the satisfaction score were recorded. Results: Transversus abdominis plane block and rectus sheath block reduced intraoperative opioid consumption. The patients in the LM group showed lower postoperative pain scores, opioid consumption, postoperative nausea and vomiting incidence and antiemetic use and presented shorter recovery times and higher satisfaction scores. Conclusions: The combination of transversus abdominis plane block and rectus sheath block with levobupivacaine and morphine can improve postoperative pain relief, reduce the consumption of analgesics, and partly accelerate postoperative recovery.
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