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https://www.readbyqxmd.com/read/29161695/a-randomized-controlled-trial-of-comparing-ultrasound-guided-transversus-abdominis-plane-block-with-local-anesthetic-infiltration-in-peritoneal-dialysis-catheter-implantation
#1
Qi Li, Xiaohong Tang, Tian Tao, Wenjuan Zhang, Wei Qin, Jie Zhang, Zi Li
BACKGROUND: The ultrasound-guided transversus abdominis plane (TAP) block has been demonstrated as a useful analgesia technique in lower-abdomen surgeries. We hypothesized that it could be the principal anesthesia technique for end-stage renal disease (ESRD) patients undergoing peritoneal dialysis (PD) catheter (PDC) implantation using the open dissection method. METHODS: This was a single-center, prospective, randomized, and double-blinded study. All eligible patients were randomized into 2 groups: the TAP block group (n = 20) and the local anesthetic infiltration (LAI) group (n = 20)...
November 22, 2017: Blood Purification
https://www.readbyqxmd.com/read/29149143/efficacy-of-magnesium-sulfate-added-to-local-anesthetic-in-a-transversus-abdominis-plane-block-for-analgesia-following-total-abdominal-hysterectomy-a-randomized-trial
#2
Kelany A Abd-Elsalam, Khaled M Fares, Montaser A Mohamed, Mohamed F Mohamed, Ahmad M Abd El-Rahman, Moaaz M Tohamy
BACKGROUND: Major abdominal surgeries are associated with severe pain, which can affect respiratory and cardiac functions if insufficiently treated; this increases postoperative morbidity. OBJECTIVE: We aim at evaluating the efficacy of magnesium sulfate as an adjuvant to local anesthetic in an ultrasound-guided transversus abdominis plane (TAP) block for postoperative analgesia in total abdominal hysterectomy. STUDY DESIGN: A prospective, randomized, double-blinded clinical trial...
November 2017: Pain Physician
https://www.readbyqxmd.com/read/29135590/the-analgesic-effect-of-ultrasound-guided-quadratus-lumborum-block-after-cesarean-delivery-a-randomized-clinical-trial
#3
Anders Krohg, Kyrre Ullensvang, Leiv Arne Rosseland, Eldrid Langesæter, Axel R Sauter
BACKGROUND: Landmark and ultrasound-guided transversus abdominis plane blocks have demonstrated an opioid-sparing effect postoperatively after cesarean delivery. The more posterior quadratus lumborum (QL) might provide superior local anesthetic spread to the thoracolumbar fascia and paravertebral space. The aim of our study was to evaluate the efficacy of the QL block after cesarean delivery. METHODS: A randomized, double-blind, controlled trial was performed. Forty parturients undergoing cesarean delivery received bilateral ultrasound-guided QL blocks with either 2 mg/mL ropivacaine or saline postoperatively...
November 10, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29099414/transversus-abdominis-plane-catheters-for-analgesia-following-abdominal-surgery-in-adults
#4
Brenton J Sanderson, Matthew A Doane
Transversus abdominis plane (TAP) catheters are increasingly being used as an opioid-sparing analgesic technique following abdominal surgery. The aim of this systematic review is to evaluate the efficacy and safety of TAP catheters for postoperative analgesia following abdominal surgery in adults. The authors searched electronic databases and relevant reference lists for randomized controlled trials published between inception and January 2017. Twelve randomized controlled trials were identified, comprising 661 participants, with several trials showing either an equivalence or superiority in analgesia compared with the alternative modality...
November 2, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29090265/postoperative-analgesic-efficiency-of-transversus-abdominis-plane-block-after-ventral-hernia-repair-a-prospective-randomized-controlled-clinical-trial
#5
Ion Chesov, Adrian Belîi
BACKGROUND AND AIMS: Effective postoperative analgesia is a key element in reducing postoperative morbidity, accelerating recovery and avoiding chronic postoperative pain. The aim of this study was to evaluate the effectiveness of ultrasound-guided Transversus Abdominis Plane (TAP) block, performed before surgical incision, in providing postoperative analgesia for patients undergoing open ventral hernia repair under general anaesthesia. METHODS: Seventy elective patients scheduled for open ventral hernia repair surgery under general anaesthesia were divided randomly into two equal groups: Group I received bilateral TAP block performed before surgical incision (n = 35); Group II received systemic postoperative analgesia with parenteral opioid (morphine) alone (n = 35)...
October 2017: Rom J Anaesth Intensive Care
https://www.readbyqxmd.com/read/29075970/transversus-abdominis-plane-block-using-a-short-acting-local-anesthetic-for-postoperative-pain-after-laparoscopic-colorectal-surgery-a-systematic-review-and-meta-analysis
#6
Tak Kyu Oh, Se-Jun Lee, Sang-Hwan Do, In-Ae Song
BACKGROUND: Transversus abdominis plane (TAP) block using a short-acting local anesthetic as part of multimodal analgesia is efficient in various abdominal surgeries, including laparoscopic surgery. However, information regarding its use in laparoscopic colorectal surgery is still limited and sometimes controversial. Therefore, we conducted a systematic review and meta-analysis to determine whether TAP block using a short-acting anesthetic has a positive postoperative analgesic outcome in patients who have undergone laparoscopic colorectal surgery...
October 26, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29068903/redefining-the-rectus-sheath-implications-for-abdominal-wall-repair
#7
Imran R A Punekar, Joseph S Khouri, Michael Catanzaro, Aizaz L Shaikh, Howard N Langstein
BACKGROUND: The abdominal wall is frequently manipulated in a variety of reconstructive procedures, and its anatomy is well described. Our clinical observations, however, contradict the standard depiction of the components of the abdominal wall at various levels - particularly regarding the course of the transversus abdominis muscle (TA). Therefore, we sought to characterize the components of the rectus sheath at various anatomic levels corresponding to surgical landmarks in order to define key points relevant to abdominal wall repair...
October 13, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29059498/respiratory-reflex-generated-by-movement-of-the-arms
#8
Ranjit K Mal
In their article "Motor control of the trunk during a modified clean and jerk lift", Eriksson Crommert, Ekblom and Thortensson(1) measured the intra-abdominal pressure (IAP) and trunk muscle activity at various stages of lifting a 30-kg weight. They observed that the "TrA (transversus abdominis muscle) was more active in a position with augmented postural demand, i.e., with the arms above the head" and that "The activation of TrA was relatively low in the lower parts of the lift, despite a higher load in terms of imposed flexor moment (judged from the sketches in the figures, not calculated) corroborated by increases in ES activation and IAP amplitude, both providing the extensor moment necessary to raise the trunk...
October 23, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28971808/practical-tips-for-placement-of-transversus-abdominis-plane-catheter-using-oblique-subcostal-approach
#9
Takayuki Yoshida, Tatsuo Nakamoto
No abstract text is available yet for this article.
June 2017: Asian J Anesthesiol
https://www.readbyqxmd.com/read/28963917/asymmetrical-abdominal-muscle-morphometry-is-present-in-injury-free-adolescent-cricket-pace-bowlers-a-prospective-observational-study
#10
Candice Martin, Benita Olivier, Natalie Benjamin
OBJECTIVES: This study aimed to determine if abdominal muscle thickness, activation and symmetry are associated with prospective in-season injury among adolescent cricket pace bowlers. DESIGN: A quantitative, prospective, observational study design was used. SETTING: Data was collected at an indoor venue at a secondary school. PARTICIPANTS: 28 injury-free, male, adolescent pace bowlers between the ages of 13 and 18 participated...
November 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/28928585/postoperative-analgesic-efficacy-of-bilateral-transversus-abdominis-plane-block-in-patients-undergoing-midline-colorectal-surgeries-using-ropivacaine-a-randomized-double-blind-placebo-controlled-trial
#11
Nahida Qazi, Wasim Mohammad Bhat, Malik Zaffar Iqbal, Anisur Rehman Wani, Showkat A Gurcoo, Sahir Rasool
BACKGROUND: Ultrasound-guided transversus abdominis plane (TAP) block is done as a part of multimodal analgesia for pain relief after abdominal surgeries. This prospective randomized, double-blind, placebo-controlled trial was conducted to evaluate the postoperative analgesic efficacy of bilateral TAP block in patients undergoing midline colorectal surgeries using ropivacaine. MATERIALS AND METHODS: Eighty patients scheduled for elective colorectal surgeries involving midline abdominal wall incision under general anesthesia were enrolled in this prospective randomized controlled trial...
July 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/28928569/comparison-of-epidural-analgesia-with-transversus-abdominis-plane-analgesia-for-postoperative-pain-relief-in-patients-undergoing-lower-abdominal-surgery-a-prospective-randomized-study
#12
Sadasivan Shankar Iyer, Harshit Bavishi, Chadalavada Venkataram Mohan, Navdeep Kaur
BACKGROUND: Anesthesiologists play an important role in postoperative pain management. For analgesia after lower abdominal surgery, epidural analgesia and ultrasound-guided transversus abdominis plane (TAP) block are suitable options. The study aims to compare the analgesic efficacy of both techniques. MATERIALS AND METHODS: Seventy-two patients undergoing lower abdominal surgery under spinal anesthesia were randomized to postoperatively receive lumbar epidural catheter (Group E) or ultrasound-guided TAP block (Group T) through intravenous cannulas placed bilaterally...
July 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/28928325/transversus-abdominis-plane-block-for-pain-relief-in-patients-undergoing-in-endoscopic-repair-of-abdominal-wall-hernia-a-comparative-randomised-double-blind-prospective-study
#13
Aparna Sinha, Lakshmi Jayaraman, Dinesh Punhani, Pradeep Chowbey
INTRODUCTION: Transversus abdominis plane (TAP) block is now a well-established technique in post-operative analgesia for lower abdominal surgeries. We evaluated the effect of ultrasound-guided TAP block on recovery parameters in patients undergoing endoscopic repair of abdominal wall hernia. METHODS: Thirty adults were randomised to receive either ropivacaine with dexmedetomidine (TR) or saline (TP) in TAP block, before emergence from anaesthesia. The patients were assessed for pain relief, sedation, time to ambulate (TA), discharge readiness (DR), postoperative opioid requirement and any adverse events...
September 20, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28920048/continuous-transversus-abdominis-plane-tap-block-and-intraoperative-coeliac-plexus-block-cpb-for-post-operative-analgesia-following-laparotomy-two-case-reports
#14
Vasanth Rao Kadam, George Kiroff
No abstract text is available yet for this article.
February 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/28920039/treatment-option-for-refractory-postherpetic-neuralgia-transversus-abdominis-plane-tap-block-two-case-reports
#15
Sun Kyung Park, Yun Suk Choi
Postherpetic neuralgia (PHN) is a severe neuropathic pain syndrome. The treatment of PHN is complex and refractory in some patients. We present two cases with refractory anterior abdominal wall pain due to PHN that were successfully treated with transversus abdominis plane (TAP) block. The TAP block seems to be an alternative for patients with PHN who suffer from anterior abdominal wall pain accompanied by allodynia and hyperalgesia and do not respond to the existing conservative treatments.
February 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/28917217/post-operative-c-reactive-protein-profile-following-abdominal-wall-reconstruction-with-transversus-abdominis-posterior-components-separation
#16
A Pearce, L Thornton, P A Sutton, C J Walsh
INTRODUCTION: Abdominal wall reconstruction using posterior component separation with transversus abdominis release (AWTAR) produces a unique post-operative CRP profile, when compared to routine elective colorectal operations. Therefore, we aim to establish the normal post-operative C-reactive protein (poCRP) profile following AWRTAR and reduce the unnecessary invasive interventions in patients already at greater risk of septic complications. METHODS: A retrospective analysis of daily poCRP levels was performed both for patients who underwent uncomplicated AWRTAR (n=12), and a comparator group of uncomplicated open right hemicolectomies (RH) matched for age and sex (n=24)...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28900569/there-are-no-biomechanical-differences-between-runners-classified-by-the-functional-movement-screen
#17
Rodrigo Ribeiro de Oliveira, Shalimá Figueirêdo Chaves, Yuri Lopes Lima, Márcio Almeida Bezerra, Gabriel Peixoto Leão Almeida, Pedro Olavo de Paula Lima
BACKGROUND: Running has been one of the main choices of physical activity in people seeking an active lifestyle. The Functional Movement Screen (FMS™) is a screening tool that aims to discern movement competency. PURPOSE: The purposes of this study were to compare biomechanical characteristics between two groups rated using the composite FMS™ score, and to analyze the influence of specific individual tests. The hypothesis was that the group that scored above 14 would demonstrate better performance on biomechanical tests than the group that scored below 14...
August 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28900566/transversus-abdominis-elasticity-during-various-exercises-a-shear-wave-ultrasound-elastography-study
#18
Kuniaki Hirayama, Ryota Akagi, Yuki Moniwa, Junichi Okada, Hideyuki Takahashi
BACKGROUND: Although the transversus abdominis (TrA) is considered to play a significant role in maintaining trunk stability, there is little information regarding the type of exercise that best facilitates the development of tension in the TrA. Muscle elasticity shows a strong association with muscle tension. Shear wave ultrasound elastography provides a means by which the tension of TrA can be noninvasively estimated, by quantifying it's elasticity. PURPOSE: The purpose of this study was to examine the TrA elasticity during several exercises as measured by shear wave ultrasound elastography, and to determine which of the studied exercises demonstrated the greatest tension...
August 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28891005/evaluation-of-the-internal-oblique-external-oblique-and-transversus-abdominalis-muscles-in-patients-with-ankylosing-spondylitis-an-ultrasonographic-study
#19
Ahmet Üşen, Banu Kuran, Figen Yılmaz, Neşe Aksu, Cem Erçalık
The objectives of the study are to compare abdominal muscle thickness in ankylosing spondylitis (AS) patients with healthy subjects and determine the factors affecting these muscle thickness. Thirty-five male patients with a previous diagnosis of AS according to the Modified New York criteria and a control group consisting of 35 healthy male individuals were included in this cross-sectional and case-control study. Thicknesses of the internal oblique (IO), external oblique (EO), and transversus abdominalis (TrA) muscles were measured with ultrasound (US)...
November 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/28889155/comparison-of-3-different-regional-block-techniques-in-pediatric-patients-a-prospective-randomized-single-blinded-study
#20
Levent Sahin, Mahmut H Soydinc, Elzem Sen, Omer Cavus, Mehrican Sahin
To compare the analgesic efficiencies of caudal blocks, ultrasound (US)-guided transversus abdominis plane (TAP) blocks, and ilio-inguinal/ilio-hypogastric (II/IH) blocks performed to provide postoperative analgesia in pediatric patients undergoing unilateral lower abdominal surgery. Methods: This prospective, randomized, single-blinded study was conducted in the Department of Pediatric Surgery, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey from July 2013 to January 2015. The doses used were as follows: 0...
September 2017: Saudi Medical Journal
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