The combination of transversus abdominis plane block and rectus sheath block reduced postoperative pain after splenectomy: a randomized trial
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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Posted 16 Jan, 2020
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The combination of transversus abdominis plane block and rectus sheath block reduced postoperative pain after splenectomy: a randomized trial
Posted 16 Jan, 2020
On 23 Jan, 2020
On 14 Jan, 2020
On 14 Jan, 2020
On 10 Jan, 2020
On 04 Jan, 2020
Received 04 Jan, 2020
Invitations sent on 03 Jan, 2020
On 25 Dec, 2019
On 24 Dec, 2019
On 24 Dec, 2019
On 13 Dec, 2019
Received 12 Dec, 2019
On 07 Dec, 2019
Received 07 Dec, 2019
On 06 Dec, 2019
Invitations sent on 03 Dec, 2019
On 01 Dec, 2019
On 30 Nov, 2019
On 30 Nov, 2019
On 12 Nov, 2019
Received 08 Nov, 2019
On 05 Nov, 2019
Received 13 Oct, 2019
On 25 Sep, 2019
Invitations sent on 20 Sep, 2019
On 03 Sep, 2019
On 28 Aug, 2019
On 28 Aug, 2019
On 19 Aug, 2019
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.
Figure 1
Figure 2
Figure 3
Figure 4