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Abdominal wall's Blocks

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34 papers 0 to 25 followers
https://www.readbyqxmd.com/read/27717634/clinical-effectiveness-of-transversus-abdominis-plane-tap-blocks-for-pain-relief-after-caesarean-section-a-meta-analysis
#1
R Champaneria, L Shah, M J Wilson, J P Daniels
BACKGROUND: The effectiveness of transversus abdominis plane (TAP) blocks for acute pain relief after caesarean section, in comparison to normal practice, remains uncertain. METHODS: Electronic literature databases were searched from inception to May 2016 for randomised controlled trials that assessed the effectiveness of TAP blocks following caesarean section. Trials were eligible if comparisons were made against no block or placebo, and/or intrathecal morphine...
December 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27733325/perineural-dexamethasone-does-not-enhance-the-analgesic-efficacy-of-ultrasound-guided-subcostal-transversus-abdominis-plane-block-during-laparoscopic-cholecystectomy
#2
Sheng-Hui Huang, Jing Lu, Hong-Yun Gan, Yi Li, Yong-Gang Peng, Shuan-Ke Wang
BACKGROUND: Ultrasound-guided transversus abdominis plane (TAP) block is an adjunct therapy to provide effective postoperative analgesia in abdominal surgical procedures. Dexamethasone is a supplement agent that can improve the efficacy of local anesthesia. However, information about its additive effect is limited. This study aimed to compare the analgesic efficiency using ultrasound-guided TAP block with and without perineural dexamethasone for patients who underwent laparoscopic cholecystectomy...
October 2016: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://www.readbyqxmd.com/read/27543534/a-cadaver-study-comparing-spread-of-dye-and-nerve-involvement-after-three-different-quadratus-lumborum-blocks
#3
L Carline, G A McLeod, C Lamb
BACKGROUND: Posterior variants of abdominal wall block include the quadratus lumborum type I, quadratus lumborum type II and quadratus lumborum transmuscular blocks. Our objectives were to compare the spread of injectate and nerve involvement, after conducting blocks using ultrasound guidance in soft embalmed cadavers. METHODS: After randomization, an experienced anaesthetist conducted three quadratus lumborum 1, three quadratus lumborum 2 and four transmuscular blocks on the left or right sides of five cadavers...
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27730633/a-radiologic-and-anatomic-assessment-of-injectate-spread-following-transmuscular-quadratus-lumborum-block-in-cadavers
#4
S D Adhikary, K El-Boghdadly, Z Nasralah, N Sarwani, A M Nixon, K J Chin
We performed bilateral transmuscular quadratus lumborum blocks in six cadavers using iodinated contrast and methylene blue. Computed tomography imaging was performed in four cadavers and anatomical dissection was completed in five. This demonstrated spread to the lumbar paravertebral space in 63% of specimens, laterally to the transversus abdominis muscle in 50% and caudally to the anterior superior iliac spine in 63% of specimens. There was no radiographic evidence of spread to the thoracic paravertebral space...
October 12, 2016: Anaesthesia
https://www.readbyqxmd.com/read/27755488/quadratus-lumborum-block-versus-transversus-abdominis-plane-block-for-postoperative-pain-after-cesarean-delivery-a-randomized-controlled-trial
#5
Rafael Blanco, Tarek Ansari, Waleed Riad, Nanda Shetty
BACKGROUND AND OBJECTIVES: Effective postoperative analgesia after cesarean delivery enhances early recovery, ambulation, and breastfeeding. In a previous study, we established the effectiveness of the quadratus lumborum block in providing pain relief after cesarean delivery compared with patient-controlled analgesia (morphine). In the current study, we hypothesized that this method would be equal to or better than the transversus abdominis plane block with regard to pain relief and its duration of action after cesarean delivery...
October 11, 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/27761032/ultrasound-guided-truncal-blocks-a-new-frontier-in-regional-anaesthesia
#6
Arunangshu Chakraborty, Rakhi Khemka, Taniya Datta
The practice of regional anaesthesia is rapidly changing with the introduction of ultrasound into the working domain of the anaesthesiologist. New techniques are being pioneered. Among the recent techniques, notable are the truncal blocks, for example, the transversus abdominis plane block, rectus sheath block, hernia block and quadratus lumborum block in the abdomen and the pectoral nerves (Pecs) block 1 and 2, serratus anterior plane block and intercostal nerve block. This narrative review covers the brief anatomical discourse along with technical description of the ultrasound-guided truncal blocks...
October 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27429253/abdominal-wall-blocks-in-adults
#7
Jens Børglum, Ismail Gögenür, Thomas F Bendtsen
PURPOSE OF REVIEW: Abdominal wall blocks in adults have evolved much during the last decade; that is, particularly with the introduction of ultrasound-guided (USG) blocks. This review highlights recent advances of block techniques within this field and proposes directions for future research. RECENT FINDINGS: Ultrasound guidance is now considered the golden standard for abdominal wall blocks in adults, even though some landmark-based blocks are still being investigated...
October 2016: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/27238859/ultrasound-guided-subcostal-transversus-abdominis-plane-blocks-with-liposomal-bupivacaine-vs-non-liposomal-bupivacaine-for-postoperative-pain-control-after-laparoscopic-hand-assisted-donor-nephrectomy-a-prospective-randomised-observer-blinded-study
#8
J L Hutchins, R Kesha, F Blanco, T Dunn, R Hochhalter
We compared the effect of subcostal transversus abdominis plane (TAP) block with liposomal bupivacaine to TAP block with non-liposomal bupivacaine on postoperative maximal pain scores in patients undergoing donor nephrectomy. Sixty patients were prospectively randomly assigned to receive ultrasound-guided bilateral TAPs with either 1.3% liposomal bupivacaine and normal saline or 0.25% non-liposomal bupivacaine with adrenaline. There was a significant decrease in maximal pain scores in the liposomal bupivacaine TAP group when compared with the non-liposomal bupivacaine group median (IQR [range]), 24-48 h after injection, 5 (3...
August 2016: Anaesthesia
https://www.readbyqxmd.com/read/27338522/postoperative-analgesia-after-caesarean-section-with-transversus-abdominis-plane-block-or-continuous-infiltration-wound-catheter-a-randomized-clinical-trial
#9
Fanny Klasen, Aurélie Bourgoin, François Antonini, Emma Dazeas, Florence Bretelle, Claude Martin, Karine Baumstarck, Marc Leone
OBJECTIVE: Single shot transversus abdominis plane (TAP) block and continuous local anaesthetic infiltration wound catheter (CLAIWC) decreased the morphine consumption after caesarean section. The aim of this study was to compare the analgesic efficacy of CLAIWC and ultrasound-guided TAP block. METHOD: Sixty patients undergoing caesarean section were prospectively randomized. After the caesarean section, the postoperative analgesia was randomized to either a CLAIWC localized below the fascia with an elastomeric pump for 48hours or a bilateral ultrasound-guided TAP block with injection of ropivacaine...
June 20, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27315184/quadratus-lumborum-block-nomenclature-and-anatomical-considerations
#10
COMMENT
Kariem El-Boghdadly, Hesham Elsharkawy, Anthony Short, Ki Jinn Chin
No abstract text is available yet for this article.
July 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/27107523/adding-sufentanil-to-tap-block-hyperbaric-bupivacaine-decreases-post-cesarean-delivery-morphine-consumption
#11
Laleh Eslamian, Motahareh Kabiri-Nasab, Marzieh Agha-Husseini, Omid Azimaraghi, Gilda Barzin, Ali Movafegh
Pain management is crucially important in the postoperative period as it increases patient comfort and satisfaction. The primary outcome of present study was to evaluate the effect of sufentanil added to hyperbaric bupivacaine solution 0.25% in transversus abdominis plane (TAP) block, on postoperative analgesic consumption. Fifty ASA physical status I-II term primiparous single-tone pregnant women aged 20-40 years scheduled for elective cesarean delivery with Pfannenstiel incision under general anaesthesia were enrolled in this randomized, double-blind, placebo-controlled trial...
March 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27134411/improved-perioperative-analgesia-with-ultrasound-guided-ilioinguinal-iliohypogastric-nerve-or-transversus-abdominis-plane-block-for-open-inguinal-surgery-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#12
REVIEW
Yuexiang Wang, Tao Wu, Marisa J Terry, Jason S Eldrige, Qiang Tong, Patricia J Erwin, Zhen Wang, Wenchun Qu
[Purpose] Ultrasound-guided ilioinguinal/iliohypogastric (II/IH) nerve and transversus abdominis plane (TAP) blocks have been increasingly utilized in patients for perioperative analgesia. We conducted this meta-analysis to evaluate the clinical efficacy of ultrasound-guided II/IH nerve or TAP blocks for perioperative analgesia in patients undergoing open inguinal surgery. [Subjects and Methods] A systematic search was conducted of 7 databases from the inception to March 5, 2015. Randomized controlled trials (RCTs) comparing the clinical efficacy of ultrasound-guided vs...
March 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27141108/ultrasound-guided-transversus-abdominis-plane-block-for-post-operative-analgesia-in-patients-undergoing-caesarean-section
#13
Maitreyi Gajanan Mankikar, Shalini Pravin Sardesai, Poonam Sachin Ghodki
BACKGROUND AND AIMS: Transversus abdominis plane (TAP) block is a fascial plane block providing post-operative analgesia in patients undergoing surgery with infra-umbilical incisions. We evaluated analgesic efficacy of TAP block with ropivacaine for 24 h after caesarean section through a Pfannenstiel incision. METHODS: Sixty patients undergoing caesarean section under spinal anaesthesia were randomised to undergo TAP block with ropivacaine (n = 30) versus control group (n = 30) with normal saline, in addition to standard analgesia with intravenous paracetamol and tramadol...
April 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27141114/ultrasound-guided-oblique-subcostal-transversus-abdominis-plane-block-an-observational-study-on-a-new-and-promising-analgesic-technique
#14
Arghya Mukherjee, Rahul Guhabiswas, Sarang Kshirsagar, Emmanuel Rupert
No abstract text is available yet for this article.
April 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27212732/the-use-of-four-point-transversus-abdominis-plane-block-for-liver-resection
#15
Shahla Siddiqui, Subhashini Anandan
No abstract text is available yet for this article.
May 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27067036/ultrasound-guided-transversalis-fascia-plane-block-versus-anterior-transversus-abdominis-plane-block-in-outpatient-inguinal-hernia-repair
#16
J M López-González, S López-Álvarez, B M Jiménez Gómez, I Areán González, G Illodo Miramontes, L Padín Barreiro
INTRODUCTION: The aim of the study was to assess the effectiveness of ultrasound-guided transversalis fascia plane block (TFP) compared to anterior transversus abdominis plane block (TAP-A) for post-operative analgesia in outpatient unilateral inguinal hernia repair. MATERIALS AND METHODS: Retrospective observational study conducted on ASA I-II patients. Two groups (TAP-A and TFP), which were given 30ml of 0.25% levobupivacaine prior to surgical incision. The primary endpoint was the post-operative pain evaluated by verbal numerical scale (VRN at rest and movement) at 10, 30, 60, 90min, coinciding with ambulation, and 24hours by telephone...
November 2016: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/27156349/truncal-blocks-for-perioperative-pain-management-a-review-of-the-literature-and-evolving-techniques
#17
Ramon Go, Yolanda Y Huang, Paul D Weyker, Christopher Aj Webb
As the American healthcare system continues to evolve and reimbursement becomes tied to value-based incentive programs, perioperative pain management will become increasingly important. Regional anesthetic techniques are only one component of a successful multimodal pain regimen. In recent years, the use of peripheral and paraneuraxial blocks to provide chest wall and abdominal analgesia has gained popularity. When used within a multimodal regimen, truncal blocks may provide similar analgesia when compared with other regional anesthetic techniques...
October 2016: Pain Management
https://www.readbyqxmd.com/read/27053780/magnesium-sulphate-as-an-adjuvant-to-bupivacaine-in-ultrasound-guided-transversus-abdominis-plane-block-in-patients-scheduled-for-total-abdominal-hysterectomy-under-subarachnoid-block
#18
Shelly Rana, Ravinder Kumar Verma, Jai Singh, Sudarshan Kumar Chaudhary, Ankita Chandel
BACKGROUND AND AIMS: Transversus abdominis plane (TAP) block has proven to be an effective component of multimodal analgesic regimens for a variety of abdominal procedures. Magnesium sulphate (MgSO4) N-methyl-D-aspartate receptor antagonist has the potential to be an ideal adjuvant in TAP block. We studied the efficacy of MgSO4 as an adjuvant to bupivacaine in TAP block in patients scheduled for total abdominal hysterectomy (TAH) under subarachnoid block (SAB). METHODS: Sixty-five women belonging to American Society of Anesthesiologists physical status 1 or 2, aged between 35 and 70 years, scheduled for TAH under SAB were recruited...
March 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/26402025/unanticipated-motor-weakness-with-ultrasound-guided-transversalis-fascia-plane-block
#19
Steven Lee, Thomas Goetz, Angineh Gharapetian
The transversalis fascia plane block is a relatively new truncal block that targets the iliohypogastric and ilioinguinal nerves. It is gaining wider usage for its reliability to block these nerves as compared with the transversus abdominis plane block. The case presented here appears to be the first time that motor weakness has resulted from this block technique. It is suspected that central and proximal spread of local anesthetic toward the psoas muscle may have resulted in a partial lumbar plexus block.
October 1, 2015: A & A Case Reports
https://www.readbyqxmd.com/read/26945692/a-comparison-of-plasma-levobupivacaine-concentrations-following-transversus-abdominis-plane-block-and-rectus-sheath-block
#20
RANDOMIZED CONTROLLED TRIAL
R Yasumura, Y Kobayashi, R Ochiai
Levobupivacaine is commonly used as the local anaesthetic of choice in peripheral nerve blocks, but its pharmacokinetics have not been fully investigated. We compared the changes in plasma concentrations of levobupivacaine following transversus abdominis plane block and rectus sheath block. Fifty woman undergoing laparoscopy were randomly allocated to receive either a transversus abdominis plane block or an rectus sheath block. In both groups, 2.5 mg.kg(-1) levobupivacaine was administered, and blood samples were obtained 15 min, 30 min, 60 min and 120 min after injection...
May 2016: Anaesthesia
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