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Rectus sheath block laparoscopic

Uma Hariharan, Neha Baduni, Bijender Pal Singh
No abstract text is available yet for this article.
July 2016: Journal of Anaesthesiology, Clinical Pharmacology
Jin Soo Kim, Jong Bum Choi, Sook Young Lee, Wook Hwan Kim, Nam Hyun Baek, Jayoun Kim, Chu Kyung Park, Yeon Ju Lee, Sung Yong Park
BACKGROUND: Robotic cholecystectomy (RC) using port sites in the lower abdominal area (T12-L1) rather than the upper abdomen has recently been introduced as an alternative procedure for laparoscopic cholecystectomy. Therefore, we investigated the time course of different components of pain and the analgesic effect of the bilateral ultrasound-guided split injection technique for rectus sheath block (sRSB) after RC in female patients. METHODS: We randomly assigned 40 patients to undergo ultrasound-guided sRSB (RSB group, nā€Š=ā€Š20) or to not undergo any block (control group, nā€Š=ā€Š20)...
August 2016: Medicine (Baltimore)
Abdelazeem Ali Eldawlatly, Abdullah Aldohayan
No abstract text is available yet for this article.
July 2016: Saudi Journal of Anaesthesia
T Hamada, M Tsuchiya, K Mizutani, R Takahashi, K Muguruma, K Maeda, W Ueda, K Nishikawa
We performed a randomised controlled double-blinded study of patients having laparoscopic colectomy with bilateral transversus abdominis plane block plus rectus sheath block, comparing a control group receiving 80 ml levobupivacaine 0.2% in saline with a dextran group receiving 80 ml levobupivacaine 0.2% in 8% low-molecular weight dextran. Twenty-seven patients were studied in each group. The mean (SD) maximum plasma concentration of levobupivacaine in the control group (1410 (322) ) was higher than the dextran group (1141 (287) ng...
April 2016: Anaesthesia
Takeshi Murouchi, Soshi Iwasaki, Michiaki Yamakage
BACKGROUND AND OBJECTIVES: Transversus abdominis plane block (TAPB) and rectus sheath block (RSB) are popular methods of controlling postoperative pain. Chronological changes in blood concentrations of local anesthetics have not been described, although a large amount of local anesthetic is required to block these compartments. We postulated that blood concentrations of anesthetics would peak earlier during TAPB than RSB (primary end point). Secondary end points were elapsed time from block until first postoperative rescue analgesia and affected dermatomes...
September 2015: Regional Anesthesia and Pain Medicine
Michael S Patzkowski, Gregory Stevens
OBJECTIVE: Contrasted with open laparotomy, the risk-benefit ratio of epidural anesthesia in laparoscopic surgery frequently disfavors its use. The presence of abdominal sepsis also affects utilization with concerns about the risks of epidural abscess and hypotension. In the unplanned conversion to open laparotomy, postoperative pain control becomes more difficult. We discuss utilization of rectus sheath blocks with liposome bupivacaine as a component of multimodal analgesia in a patient with abdominal sepsis from a perforated appendix...
June 2015: Military Medicine
Katsushi Takebayashi, Masakata Matsumura, Yasuhiro Kawai, Takahiko Hoashi, Nagato Katsura, Seijun Fukuda, Kenji Shimizu, Takuji Inada, Masugi Sato
We aimed to assess the efficacy of transversus abdominis plane (TAP) block and rectus sheath (RS) block in patients undergoing laparoscopic inguinal hernia surgery. Few studies have addressed the efficacy and safety associated with TAP block and RS block for laparoscopic surgery. Thirty-two patients underwent laparoscopic inguinal hernia surgery, either with TAP and RS block (Block(+) group, n = 18) or without peripheral nerve block (Block(-) group, n = 14). Preoperatively, TAP and RS block were performed through ultrasound guidance...
April 2015: International Surgery
Hideki Kamei, Nobuya Ishibashi, Gouichi Nakayama, Nobuya Hamada, Yutaka Ogata, Yoshito Akagi
INTRODUCTION: Single-incision laparoscopic cholecystectomy (SILC) is increasingly applied for cholecystectomy and has been reported as safe and feasible, with short-term operative outcomes equivalent to four-port cholecystectomy. Although many investigators in randomized studies have noted the cosmetic advantages of SILC, the benefit of decreased pain in SILC remains controversial. Therefore, this study aimed to assess the efficacy of the rectus sheath block in SILC with respect to subjective pain...
May 2015: Asian Journal of Endoscopic Surgery
James K Hamill, Andrew Liley, Andrew G Hill
BACKGROUND: The rectus sheath block is effective in elective paediatric operations, but has not been previously studied in acute laparoscopic surgery. We investigated its effect on pain after laparoscopic appendicectomy for acute appendicitis. METHODS: Children aged 8-14 years admitted to a paediatric teaching hospital participated in a randomized clinical trial comparing a rectus sheath block using bupivacaine plus adrenaline with saline control. The primary outcomes were pain scores and opiate use, and secondary outcomes were time in the post-anaesthetic care unit, duration of hospitalization and recovery...
December 2015: ANZ Journal of Surgery
Chihiro Yakoshi, Hiroshi Hashimoto, Hidetomo Niwa, Masatou Kitayama, Tsuyoshi Kudo, Mihoko Kudo, Kazuyoshi Hirota
BACKGROUND: The aim of this study was to evaluate the analgesic efficacy and safety of rectus sheath block combined with intraperitoneal instillation using two doses of ropivacaine in patients undergoing laparoscopic gynecological surgery. METHODS: Altogether 53 consenting women were randomized to receive intraperitoneal infiltration with 0.25% ropivacaine or 0.5% ropivacaine followed by rectus sheath block with 0.375% ropivacaine. The outcomes of clinical safety were measured using plasma concentration of local anesthetics and occurrence of toxic symptoms...
March 2014: Masui. the Japanese Journal of Anesthesiology
John Dolan, Philip Lucie, Timothy Geary, Malcolm Smith, Gavin N C Kenny
BACKGROUND AND OBJECTIVES: The aim of this study was to compare the accuracy of local anesthetic placement in the rectus sheath block when performed by trainee anesthetists using loss of resistance (LOR) or ultrasound guidance. METHODS: Eighty-one patients undergoing laparoscopic surgery were randomly assigned to undergo rectus sheath block by either LOR or ultrasound guidance. Trainee anesthesiologists were also randomly assigned to provide the rectus sheath block by LOR or by using ultrasound...
May 2009: Regional Anesthesia and Pain Medicine
L M Collins, H Vaghadia
A variety of laparoscopic procedures can be performed on patients under regional anesthesia. Diagnostic laparoscopy in elective and emergency patients, pain mapping, laparoscopy for infertility, and tubal sterilization are some examples. The key benefits of regional anesthesia include less emesis, less postoperative pain, shorter postoperative stay, improved patient satisfaction, and overall safety. Regional techniques, such as rectus sheath blocks, inguinal blocks, and caudal blocks, are useful adjuncts to general anesthesia and facilitate postoperative analgesia...
March 2001: Anesthesiology Clinics of North America
B E Smith, G H MacPherson, M de Jonge, J M Griffiths
Thirty patients scheduled to undergo laparoscopic sterilisation were allocated at random to receive either a standardised general anaesthetic and rectus sheath block (group A), or standardised general anaesthetic combined with both rectus sheath and mesosalpinx blocks (group B). Group B patients had significantly less postoperative pain, as assessed by linear analogue scores (p less than 0.025), and analgesic requirement (p less than 0.05). By the 8th postoperative hour all 15 group B patients had been discharged from hospital, whilst only seven of 15 patients in group A were considered suitable for discharge at this time, (p less than 0...
October 1991: Anaesthesia
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