Analgesic efficiency of different dose ropivacaine on transversus abdominis plane block after laparoscopic cholecystectomy: a randomized control trial
- Journal of Third Military Medical University Vol. 39, Issue 7, Pages: 696-700(2017)
- 作者机构：
- 作者简介：
- 基金信息：
DOI：10.16016/j.1000-5404.201610114
CLC：Received：18 October 2016，
Published：2017-07
- 稿件说明：
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Jie Bai, Wei Meng, Shenghui Huang. Analgesic efficiency of different dose ropivacaine on transversus abdominis plane block after laparoscopic cholecystectomy: a randomized control trial[J]. Journal of Third Military Medical University, 2017, 39(7): 696-700.
Jie Bai, Wei Meng, Shenghui Huang. Analgesic efficiency of different dose ropivacaine on transversus abdominis plane block after laparoscopic cholecystectomy: a randomized control trial[J]. Journal of Third Military Medical University, 2017, 39(7): 696-700. DOI： 10.16016/j.1000-5404.201610114.
摘要
Abstract
Objective
2
To compare the analgestic efficacy on transversus abdominis plane (TAP) block
overall rehabilitation and relative adverse reactions of different doses of ropivacaine in patients after laparoscopic cholecystectomy (LC).
Methods
2
A total of 60 patients undergoing elective LC in our hospital from November 2015 to May 2016 were prospectively recruited in this study. They were randomly divided into 2 groups
and received 0.250% and 0.375% ropivacaine respectively for bilateral TAP block. Total intravenous anesthesia (TIVA) was adopted in all patients
and target controlled infusion (TCI) was carried out through the anesthetic induction and maintained intra-operatively. A skilled anesthesiologist performed the bilateral subcostal TAP block under ultrasound guidance before the surgical incision was made. After operation
all patients were given sulfentanil to maintain the pain relief. The patients complaining of pain
in the postanesthetic care unit and the surgical ward
were injected additional analgesic parocoxib and sulfentanil. Afterwards
the following results of all patients were recorded: the first time to receive the additional analgesic
total dose of opioids and parocoxib during the perioperative time
scores numeric rating scale (NRS) for pain at different intervals and relative adverse effects.
Results
2
Significant difference was found in the dose of remifentanil between the patients receiving different doses of ropivacaine in the bilateral TAP block (
P
<
0.05). But there were no differences in the total amounts of opioids and parocoxib
scores of NRS at different intervals and relative adverse effects between the 2 groups (
P
>
0.05).
Conclusion
2
Low dose ropivacaine exerts similar analgestic efficacy when compared with high dose
so it is recommended to improve its safety for TAP block.
关键词
Keywords
references
De-Oliveira G S Jr Fitzgerald P Streicher L F Systemic lidocaine to improve postoperative quality of recovery after ambulatory laparoscopic surgery Anesth Analg 2012 115 2 262 267 10.1213/ANE.0b013e318257a380 De-Oliveira G S Jr, Fitzgerald P, Streicher L F, et al.Systemic lidocaine to improve postoperative quality of recovery after ambulatory laparoscopic surgery[J].Anesth Analg, 2012, 115(2): 262-267.DOI:10.1213/ANE.0b013e318257a380
De-Oliveira G S Jr Castro-Alves L J Nader A Transversus abdominis plane block to ameliorate postoperative pain outcomes after laparoscopic surgery: a meta-analysis of randomized controlled trials Anesth Analg 2014 118 2 454 463 10.1213/ANE.0000000000000066 De-Oliveira G S Jr, Castro-Alves L J, Nader A, et al.Transversus abdominis plane block to ameliorate postoperative pain outcomes after laparoscopic surgery: a meta-analysis of randomized controlled trials[J].Anesth Analg, 2014, 118(2): 454-463. DOI: 10.1213/ANE. 0000000000000066
Ure B M Troidl H Spangenberger W Pain after laparoscopic cholecystectomy. Intensity and localization of pain and analysis of predictors in preoperative symptoms and intraoperative events Surg Endosc 1994 8 2 90 96 Ure B M, Troidl H, Spangenberger W, et al. Pain after laparoscopic cholecystectomy. Intensity and localization of pain and analysis of predictors in preoperative symptoms and intraoperative events[J]. Surg Endosc, 1994, 8(2): 90-96.
McDonnell J G Curley G Carney J The analgesic efficacy of transversus abdominis plane block after cesarean delivery: a randomized controlled trial Anesth Analg 2008 106 1 186 191 10.1213/01.ane.0000290294.64090.f3 McDonnell J G, Curley G, Carney J, et al. The analgesic efficacy of transversus abdominis plane block after cesarean delivery: a randomized controlled trial[J]. Anesth Analg, 2008, 106(1): 186-191. DOI: 10.1213/01.ane.0000290294. 64090.f3
Koltzenaurg M Neural mechanisms of cutaneous nociceptive pain Clin J Pain 2000 16 3 Suppl S131 138 https://www.researchgate.net/publication/12310177_Neural_Mechanisms_of_Cutaneous_Nociceptive_Pain Koltzenaurg M. Neural mechanisms of cutaneous nociceptive pain. Clin J Pain, 2000, 16(3 Suppl): S131-138.
De Oliveira G S Jr Milad M P Fitzgerald P Transversus abdominis plane infiltration and quality of recovery after laparoscopic hysterectomy: a randomized controlled trial Obstet Gynecol 2011 118 6 1230 1237 10.1097/AOG.0b013e318236f67f De Oliveira G S Jr, Milad M P, Fitzgerald P, et al. Transversus abdominis plane infiltration and quality of recovery after laparoscopic hysterectomy: a randomized controlled trial[J]. Obstet Gynecol, 2011, 118(6): 1230-1237. DOI:10.1097/AOG.0b013e318236f67f
Champaneria R Shah L Geoghegan J Analgesic effectiveness of transversus abdominis plane blocks after hysterectomy: a meta-analysis Eur J Obstet Gynecol Reprod Biol 2013 166 1 1 9 10.1016/j.ejogrb.2012.09.012 Champaneria R, Shah L, Geoghegan J, et al. Analgesic effectiveness of transversus abdominis plane blocks after hysterectomy: a meta-analysis[J]. Eur J Obstet Gynecol Reprod Biol, 2013, 166(1): 1-9. DOI:10.1016/j.ejogrb.2012.09.012
Abdallah F W Chan V W Brull R Transversus abdominis plane block: a systematic review Reg Anesth Pain Med 2012 37 2 193 209 10.1097/AAP.0b013e3182429531 Abdallah F W, Chan V W, Brull R. Transversus abdominis plane block: a systematic review[J]. Reg Anesth Pain Med, 2012, 37(2): 193-209. DOI:10.1097/AAP.0b013e3182429531
Bhatia N Arora S Jyotsna W Comparison of posterior and subcostal approaches to ultrasound-guided transverse abdominis plane block for postoperative analgesia in laparoscopic cholecystectomy J Clin Anesth 2014 26 4 294 299 10.1016/j.jclinane.2013.11.023 Bhatia N, Arora S, Jyotsna W, et al. Comparison of posterior and subcostal approaches to ultrasound-guided transverse abdominis plane block for postoperative analgesia in laparoscopic cholecystectomy[J]. J Clin Anesth, 2014, 26(4): 294-299. DOI:10.1016/j.jclinane.2013.11.023
El-Dawlatly A A Turkistani A Kettner S C Ultrasound-guided transversus abdominis plane block: description of a new technique and comparison with conventional systemic analgesia during laparoscopic cholecystectomy Br J Anaesth 2009 102 6 763 767 10.1093/bja/aep067 El-Dawlatly A A, Turkistani A, Kettner S C, et al. Ultrasound-guided transversus abdominis plane block: description of a new technique and comparison with conventional systemic analgesia during laparoscopic cholecystectomy[J]. Br J Anaesth, 2009, 102(6): 763-767. DOI:10.1093/bja/aep067
Shibata Y Sato Y Fujiwara Y Transversus abdominis plane block Anesth Analg 2007 105 3 883 10.1213/01.ane.0000268541.83265.7d Shibata Y, Sato Y, Fujiwara Y, et al. Transversus abdominis plane block[J]. Anesth Analg, 2007, 105(3): 883. DOI:10.1213/01.ane.0000268541.83265.7d
Niraj G Kelkar A Jeyapalan I Comparison of analgesic efficacy of subcostal transversus abdominis plane blocks with epidural analgesia following upper abdominal surgery Anaesthesia 2011 66 6 465 471 10.1111/j.1365-2044.2011.06700.x Niraj G, Kelkar A, Jeyapalan I, et al. Comparison of analgesic efficacy of subcostal transversus abdominis plane blocks with epidural analgesia following upper abdominal surgery[J]. Anaesthesia, 2011, 66(6): 465-471. DOI:10.1111/j.1365-2044.2011.06700.x
Griffiths J D Barron F A Grant S Plasma ropivacaine concentrations after ultrasound-guided transversus abdominis plane block Br J Anaesth 2010 105 6 853 856 10.1093/bja/aeq255 Griffiths J D, Barron F A, Grant S, et al. Plasma ropivacaine concentrations after ultrasound-guided transversus abdominis plane block[J]. Br J Anaesth, 2010, 105(6): 853-856. DOI:10.1093/bja/aeq255
Kuthiala G Chaudhary G Ropivacaine: A review of its pharmacology and clinical use Indian J Anaesth 2011 55 2 104 110 10.4103/0019-5049.79875 Kuthiala G, Chaudhary G. Ropivacaine: A review of its pharmacology and clinical use[J]. Indian J Anaesth, 2011, 55(2): 104-110. DOI:10.4103/0019-5049.79875
田 玉科 梅 伟 超声定位神经阻滞图谱 北京 人民卫生出版社 2011 184 189 田玉科, 梅伟.超声定位神经阻滞图谱[M].北京:人民卫生出版社, 2011:184-189.
Tian Y K Mei W Atlas of Ultrasound Guided Nerve Block People's Medical Publishing House 2011 184 189 Tian Y K, Mei W. Atlas of Ultrasound Guided Nerve Block[M]. People's Medical Publishing House, 2011: 184-189.
Abdul Jalil R M Yahya N Sulaiman O Comparing the effectiveness of ropivacaine 0.5% versus ropivacaine 0.2% for transabdominis plane block in providing postoperative analgesia after appendectomy Acta Anaesthesiol Taiwan 2014 52 2 49 53 10.1016/j.aat.2014.05.007 Abdul Jalil R M, Yahya N, Sulaiman O, et al. Comparing the effectiveness of ropivacaine 0.5% versus ropivacaine 0.2% for transabdominis plane block in providing postoperative analgesia after appendectomy[J]. Acta Anaesthesiol Taiwan, 2014, 52(2): 49-53. DOI:10.1016/j.aat.2014.05.007
Griffiths J D Le N V Grant S Symptomatic local anaesthetic toxicity and plasma ropivacaine concentrations after transversus abdominis plane block for Caesarean section Br J Anaesth 2013 110 6 996 1000 10.1093/bja/aet015 Griffiths J D, Le N V, Grant S, et al. Symptomatic local anaesthetic toxicity and plasma ropivacaine concentrations after transversus abdominis plane block for Caesarean section[J]. Br J Anaesth, 2013, 110(6): 996-1000. DOI:10.1093/bja/aet015
Xiang Z Yao T Hao R Transversus abdominis plane block for postoperative analgesia after laparoscopic surgery: a systemic review and meta-analysis Int J Cin Exp Med 2014 7 9 2966 2975 https://www.researchgate.net/publication/267735399_Transversus_abdominis_plane_block_for_postoperative_analgesia_after_laparoscopic_surgery_A_systematic_review_and_meta-analysis Xiang Z, Yao T, Hao R, et al.Transversus abdominis plane block for postoperative analgesia after laparoscopic surgery: a systemic review and meta-analysis[J]. Int J Cin Exp Med, 2014, 7(9):2966-2975.
Akkaya A Yildiz I Tekelioglu U Y Dexamethasone added to levobupivacaine in ultrasound-guided tranversus abdominis plain block increased the duration of postoperative analgesia after caesarean section: a randomized, double blind, controlled trial Eur Rev Med Pharmacol Sci 2014 18 5 717 722 10.5455/gulhane.206518 Akkaya A, Yildiz I, Tekelioglu U Y, et al. Dexamethasone added to levobupivacaine in ultrasound-guided tranversus abdominis plain block increased the duration of postoperative analgesia after caesarean section: a randomized, double blind, controlled trial[J]. Eur Rev Med Pharmacol Sci, 2014, 18(5): 717-722. DOI:10.5455/gulhane.206518
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