TAP block comfort for lower abdominal surgery in pediatric patients

Feyza Özkan

Makale detayları

TAP block comfort for lower abdominal surgery in pediatric patients

Yazarlar:

Feyza Özkan

Yayıncı:

Cukurova University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Cukurova Medical Journal Vol.48 Issue 3, pp.772-780

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286385

pISSN:

2602-3032

Anahtar kelimeler:

Özet:

 Purpose: The aim of this study was to examine the effect of The transversus abdominis plane TAP block after lower abdominal surgery on pain severity and additional analgesic requirement in a pediatric patient group. Materials and Methods: In this retrospective study, 46 ASA I children aged 2-18 years undergoing abdominal surgery were divided into two groups. Group T n: 20 patients who were under the general anesthesia received ultrasound-guided TAP block with 0.5 mLkg of 0.25 bupivacaine immediately after the operation. Group O n: 26 patients were administered intravenous I.V. 2 µcgkg opioid fentanyl analgesia after recovery from general anesthesia. The patients were taken to the post-anesthesia care unit PACU for recovery and initial pain observation. Patients pain was assessed by using the Visual Analogue Scale VAS score within the first 24 hours following surgery. Results: The incidence of the additional analgesic requirement in the TAP block15 group was statistically significantly lower than in the I.V. opioid group65. There was a difference between the first analgesic requirement and the discharging time according to TAP block administration, but it was statistically insignificant. The VAS scores at 4 hr and 8 hr in the TAP block group were statistically significantly lower than in the IV opioid group4.VAS:4.901,21 5.900.85; 8.VAS:4.050.76 3.100.85. The VAS scores at postoperative 2 hr were decreased in both groups. However, the decrease in the VAS score at 2 hr was greater in the TAP block group. Conclusion: TAP block was superior to IV opioids in reducing additional analgesic requirements in pediatric patients undergoing abdominal surgery. It will contribute further to early discharging a patient as it allows early mobilization.

 Purpose: The aim of this study was to examine the effect of The transversus abdominis plane TAP block after lower abdominal surgery on pain severity and additional analgesic requirement in a pediatric patient group. Materials and Methods: In this retrospective study, 46 ASA I children aged 2-18 years undergoing abdominal surgery were divided into two groups. Group T n: 20 patients who were under the general anesthesia received ultrasound-guided TAP block with 0.5 mLkg of 0.25 bupivacaine immediately after the operation. Group O n: 26 patients were administered intravenous I.V. 2 µcgkg opioid fentanyl analgesia after recovery from general anesthesia. The patients were taken to the post-anesthesia care unit PACU for recovery and initial pain observation. Patients pain was assessed by using the Visual Analogue Scale VAS score within the first 24 hours following surgery. Results: The incidence of the additional analgesic requirement in the TAP block15 group was statistically significantly lower than in the I.V. opioid group65. There was a difference between the first analgesic requirement and the discharging time according to TAP block administration, but it was statistically insignificant. The VAS scores at 4 hr and 8 hr in the TAP block group were statistically significantly lower than in the IV opioid group4.VAS:4.901,21 5.900.85; 8.VAS:4.050.76 3.100.85. The VAS scores at postoperative 2 hr were decreased in both groups. However, the decrease in the VAS score at 2 hr was greater in the TAP block group. Conclusion: TAP block was superior to IV opioids in reducing additional analgesic requirements in pediatric patients undergoing abdominal surgery. It will contribute further to early discharging a patient as it allows early mobilization.

 Purpose: The aim of this study was to examine the effect of The transversus abdominis plane TAP block after lower abdominal surgery on pain severity and additional analgesic requirement in a pediatric patient group. Materials and Methods: In this retrospective study, 46 ASA I children aged 2-18 years undergoing abdominal surgery were divided into two groups. Group T n: 20 patients who were under the general anesthesia received ultrasound-guided TAP block with 0.5 mLkg of 0.25 bupivacaine immediately after the operation. Group O n: 26 patients were administered intravenous I.V. 2 µcgkg opioid fentanyl analgesia after recovery from general anesthesia. The patients were taken to the post-anesthesia care unit PACU for recovery and initial pain observation. Patients pain was assessed by using the Visual Analogue Scale VAS score within the first 24 hours following surgery. Results: The incidence of the additional analgesic requirement in the TAP block15 group was statistically significantly lower than in the I.V. opioid group65. There was a difference between the first analgesic requirement and the discharging time according to TAP block administration, but it was statistically insignificant. The VAS scores at 4 hr and 8 hr in the TAP block group were statistically significantly lower than in the IV opioid group4.VAS:4.901,21 5.900.85; 8.VAS:4.050.76 3.100.85. The VAS scores at postoperative 2 hr were decreased in both groups. However, the decrease in the VAS score at 2 hr was greater in the TAP block group. Conclusion: TAP block was superior to IV opioids in reducing additional analgesic requirements in pediatric patients undergoing abdominal surgery. It will contribute further to early discharging a patient as it allows early mobilization.

 Amaç: Bu çalışmada pediatrik hasta grubunda alt karın ameliyatı sonrası uygulanan transversus abdominis plan TAP bloğunun ağrı şiddeti ve ek analjezik ihtiyacına etkisini araştırmayı amaçladık. Gereç ve Yöntem: Retrospektif gerçekleştirilen bu çalışmada abdominal cerrahi geçiren 2-18 yaş arası ASA I 46 çocuk iki gruba ayrıldı. Grup Tn:20 hastalarına genel anestezi altında operasyon tamamlandıktan hemen sonra 0.5 mLkg 0.25 bupivakain ile ultrasonografik kılavuzluk eşliğinde TAP blok uygulandı. Grup On:26 hastalarına genel anesteziden ayılma sonrasında intravenözi.v. 2 µcgkg dozunda opioidfentanil analjezisi uygulandı. Derlenme ve ilk ağrı gözlemi için hastalar postanestezik bakım ünitesinePACU alındı. Ameliyat sonrası ağrı, ameliyattan sonra ki ilk 24 saat içinde Visual Analog SkalaVAS skoru ile değerlendirildi. Bulgular: TAP blok uygulanan olgularda ek aneljezik ihtiyacı görülme oranı15, I.V opioid uygulananlardan istatistiksel olarak anlamlı düzeyde daha düşüktü65. TAP blok uygulanma durumuna göre olguların ilk aneljezi ihtiyacı için geçen süreleri ve taburculuk süreleri arasında fark mevcut ancak istatistiksel olarak anlamlı değildi. TAP blok uygulanan olguların 4.saat ve 8. saat VAS skorları, I.V. opioid uygulanan gruba göre istatistiksel olarak anlamlı düzeyde daha düşük saptandı 4.VAS:4.901,21 5.900.85; 8.VAS:4.050.76 3.100.85. Her iki grupta da ameliyattan 2 saat sonra değerlendirilen VAS skorlarında azalma vardı. Ancak TAP blok uygulanan grupta 2. Saat VAS skorunda daha fazla düşme mevcuttu. Sonuç: Abdominal cerrahi geçiren pediatrik hastalarda TAP blok ek analjezik ihtiyacını azaltma açısından I.V. opioide kıyasla daha üstün bulundu. Erken mobilizasyona olanak sağladığı için erken taburculuğa da katkısı olacaktır.

Makale detayları

TAP block comfort for lower abdominal surgery in pediatric patients

Yazarlar:

Feyza Özkan

Yayıncı:

Cukurova University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Cukurova Medical Journal Vol.48 Issue 3, pp.772-780

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286385

pISSN:

2602-3032

TAP block

pediatric patient

abdominal surgery

VAS

opioid

TAP blok

çocuk hasta

abdominal cerrahi

VAS

opioid

Sayı

Makale detayları

Yazarlar: Feyza Özkan

Yayıncı: Cukurova University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Cukurova Medical Journal Vol.48 Issue 3, pp.772-780

Belge Tipi: Makale

Yayın Tarihi: 9/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001286385

pISSN: 2602-3032

Sayı

Yazarlar:

Feyza Özkan

Yayıncı:

Cukurova University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Cukurova Medical Journal Vol.48 Issue 3, pp.772-780

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286385

pISSN:

2602-3032