Research Article
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Year 2018, Volume: 5 Issue: 6, 224 - 228, 30.06.2018
https://doi.org/10.17546/msd.429382

Abstract

References

  • 1. El-Dawlatly AA, Turkistani A, Kettner SC, Machata AM, Delvi MB, Thallaj A, Kapral S, Marhofer P. Ultrasound-guided transversus abdominis plane block: description of a new technique and comparison with conventional systemic analgesia during laparoscopic cholecystectomy. Br J Anaesth. 2009 Jun;102(6):763-7. doi: 10.1093/bja/aep067. Epub 2009 Apr 17
  • 2. Hebbard P, Fujiwara Y, Shibata Y, Royse C. Ultrasound-guided transversus abdominis plane (TAP) block. Anaesth Intensive Care. 2007 Aug;35(4):616-7.
  • 3. Fredrickson M, Seal P, Houghton J. Early experience with the transversus abdominis plane block in children. Paediatr Anaesth. 2008 Sep;18(9):891-2. doi: 10.1111/j.1460-9592.2008.02591.x.
  • 4. Apfelbaum JL, Chen C, Mehta SS, Gan TJPostoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg. 2003 Aug;97(2):534-40
  • 5. Dolin SJ1, Cashman JN, Bland JM. Effectiveness of acute postoperative pain management: I. Evidence from published data. Br J Anaesth. 2002 Sep;89(3):409-23.
  • 6. Griffiths JD1, Middle JV, Barron FA, Grant SJ, Popham PA, Royse CF. Transversus abdominis plane block does not provide additional benefit to multimodal analgesia in gynecological cancer surgery. Anesth Analg. 2010 Sep;111(3):797-801. doi: 10.1213/ANE.0b013e3181e53517. Epub 2010 Jun 14.
  • 7. Bharti N1, Kumar P, Bala I, Gupta V. The efficacy of a novel approach to transversus abdominis plane block for postoperative analgesia after colorectal surgery. Anesth Analg. 2011 Jun;112(6):1504-8. doi: 10.1213/ANE.0b013e3182159bf8. Epub 2011 Apr 5.
  • 8. Petersen PL1, Mathiesen O, Stjernholm P, Kristiansen VB, Torup H, Hansen EG, Mitchell AU, Moeller A, Rosenberg J, Dahl JB. The effect of transversus abdominis plane block or local anaesthetic infiltration in inguinal herniarepair: a randomised clinical trial. Eur J Anaesthesiol. 2013 Jul;30(7):415-21. doi: 10.1097/EJA.0b013e32835fc86f.
  • 9. Petersen PL1, Mathiesen O, Stjernholm P, Kristiansen VB, Torup H, Hansen EG, Mitchell AU, Moeller A, Rosenberg J, Dahl JB. The effect of transversus abdominis plane block or local anaesthetic infiltration in inguinal herniarepair: a randomised clinical trial. Eur J Anaesthesiol. 2013 Jul;30(7):415-21. doi: 10.1097/EJA.0b013e32835fc86f.
  • 10. Milone M1, Di Minno MN, Musella M, Maietta P, Iacovazzo C, Milone F. Ultrasound-guided transversus abdominis plane block for retroperitoneal varicocele repair. Could it be an anesthesia method? Updates Surg. 2013 Sep;65(3):225-30. doi: 10.1007/s13304-013-0211-6. Epub 2013 Apr 26.
  • 11. Sola C1, Menace C, Rochette A, Raux O, Bringuier S, Molinari N, Kalfa N, Capdevila X, Dadure C. Ultrasound-guided tranversus abdominis plane block for herniorrhaphy in children: what is the optimal dose of levobupivacaine? Eur J Anaesthesiol. 2014 Jun;31(6):327-32. doi: 10.1097/EJA.0000000000000040.
  • 12. Chen CK1, Teo SC2, Phui VE3, Saman MA2. Analgesic efficacy of transversus abdominis plane block in neonates and early infants for colostomy and reversal of colostomy. Agri. 2015;27(4):210-4. doi: 10.5505/agri.2015.66487.
  • 13. Sahin L1, Sahin M, Gul R, Saricicek V, Isikay N. Ultrasound-guided transversus abdominis plane block in children: a randomised comparison with wound infiltration. Eur J Anaesthesiol. 2013 Jul;30(7):409-14. doi: 10.1097/EJA.0b013e32835d2fcb.

Is ultrasound-guided transversus abdominis plane block in providing analgesia in pediatric cases safe and efficient?: A retrospective study

Year 2018, Volume: 5 Issue: 6, 224 - 228, 30.06.2018
https://doi.org/10.17546/msd.429382

Abstract





Objective:  The use of high or insufficient doses of
analgesics in pediatric cases unfavorably affects the patient’s health in the
postoperative period. Ultrasound-guided transversus abdominis plane (TAP)
block is used in the management of postoperative pain in pediatric cases. The
present study aims to evaluate the efficacy of ultrasound-guided TAP block in
pediatric patients using a mixture of lidocaine and bupivacaine.


Methods: The medical records of cases, who underwent surgery for the repair
of the inguinal hernia and undescended testis using ultrasound-guided TAP
block in the department of pediatric surgery, were retrospectively reviewed
(28 cases). The study included ASA I-II pediatric cases aged 2-12 years. The
amount of drug administered while performing USG-guided TAP block, time to
first analgesic use in the postoperative period, pain score and the amount of
first analgesic administration were recorded. The satisfaction of the surgeon
and patient’s companion was evaluated.


Results: A p-value <0.05 was considered statistically significant. The
findings showed that pain score was the lowest in the group with the highest
patient’s companion and physician satisfaction score, and the highest in
group with the lowest satisfaction score and the difference was statistically
significant (p<0.001). The satisfaction of the physicians (p=0.010) and
the patient’s companion (p=0.027) increased with increasing drug volume.


Conclusions: The volume of 0.4 ml.kg-1 (50:50 1% lidocaine and 2.5% bupivacaine)
achieved the best physician and patient’s companion satisfaction and the
longest duration of analgesia in pediatric cases undergoing surgery for the
repair of the inguinal hernia and undescended testis. The lack of any
complications in the present study suggests that USG-guided TAP block is a
safe procedure in pediatric patients in experienced hands. Further studies
are required.


References

  • 1. El-Dawlatly AA, Turkistani A, Kettner SC, Machata AM, Delvi MB, Thallaj A, Kapral S, Marhofer P. Ultrasound-guided transversus abdominis plane block: description of a new technique and comparison with conventional systemic analgesia during laparoscopic cholecystectomy. Br J Anaesth. 2009 Jun;102(6):763-7. doi: 10.1093/bja/aep067. Epub 2009 Apr 17
  • 2. Hebbard P, Fujiwara Y, Shibata Y, Royse C. Ultrasound-guided transversus abdominis plane (TAP) block. Anaesth Intensive Care. 2007 Aug;35(4):616-7.
  • 3. Fredrickson M, Seal P, Houghton J. Early experience with the transversus abdominis plane block in children. Paediatr Anaesth. 2008 Sep;18(9):891-2. doi: 10.1111/j.1460-9592.2008.02591.x.
  • 4. Apfelbaum JL, Chen C, Mehta SS, Gan TJPostoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg. 2003 Aug;97(2):534-40
  • 5. Dolin SJ1, Cashman JN, Bland JM. Effectiveness of acute postoperative pain management: I. Evidence from published data. Br J Anaesth. 2002 Sep;89(3):409-23.
  • 6. Griffiths JD1, Middle JV, Barron FA, Grant SJ, Popham PA, Royse CF. Transversus abdominis plane block does not provide additional benefit to multimodal analgesia in gynecological cancer surgery. Anesth Analg. 2010 Sep;111(3):797-801. doi: 10.1213/ANE.0b013e3181e53517. Epub 2010 Jun 14.
  • 7. Bharti N1, Kumar P, Bala I, Gupta V. The efficacy of a novel approach to transversus abdominis plane block for postoperative analgesia after colorectal surgery. Anesth Analg. 2011 Jun;112(6):1504-8. doi: 10.1213/ANE.0b013e3182159bf8. Epub 2011 Apr 5.
  • 8. Petersen PL1, Mathiesen O, Stjernholm P, Kristiansen VB, Torup H, Hansen EG, Mitchell AU, Moeller A, Rosenberg J, Dahl JB. The effect of transversus abdominis plane block or local anaesthetic infiltration in inguinal herniarepair: a randomised clinical trial. Eur J Anaesthesiol. 2013 Jul;30(7):415-21. doi: 10.1097/EJA.0b013e32835fc86f.
  • 9. Petersen PL1, Mathiesen O, Stjernholm P, Kristiansen VB, Torup H, Hansen EG, Mitchell AU, Moeller A, Rosenberg J, Dahl JB. The effect of transversus abdominis plane block or local anaesthetic infiltration in inguinal herniarepair: a randomised clinical trial. Eur J Anaesthesiol. 2013 Jul;30(7):415-21. doi: 10.1097/EJA.0b013e32835fc86f.
  • 10. Milone M1, Di Minno MN, Musella M, Maietta P, Iacovazzo C, Milone F. Ultrasound-guided transversus abdominis plane block for retroperitoneal varicocele repair. Could it be an anesthesia method? Updates Surg. 2013 Sep;65(3):225-30. doi: 10.1007/s13304-013-0211-6. Epub 2013 Apr 26.
  • 11. Sola C1, Menace C, Rochette A, Raux O, Bringuier S, Molinari N, Kalfa N, Capdevila X, Dadure C. Ultrasound-guided tranversus abdominis plane block for herniorrhaphy in children: what is the optimal dose of levobupivacaine? Eur J Anaesthesiol. 2014 Jun;31(6):327-32. doi: 10.1097/EJA.0000000000000040.
  • 12. Chen CK1, Teo SC2, Phui VE3, Saman MA2. Analgesic efficacy of transversus abdominis plane block in neonates and early infants for colostomy and reversal of colostomy. Agri. 2015;27(4):210-4. doi: 10.5505/agri.2015.66487.
  • 13. Sahin L1, Sahin M, Gul R, Saricicek V, Isikay N. Ultrasound-guided transversus abdominis plane block in children: a randomised comparison with wound infiltration. Eur J Anaesthesiol. 2013 Jul;30(7):409-14. doi: 10.1097/EJA.0b013e32835d2fcb.
There are 29 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Orhan Binici

Osman Hakan Kocaman

Evren Buyukfirat This is me

Mahmut Alp Karahan

Nuray Altay This is me

Publication Date June 30, 2018
Published in Issue Year 2018 Volume: 5 Issue: 6

Cite

APA Binici, O., Kocaman, O. H., Buyukfirat, E., Karahan, M. A., et al. (2018). Is ultrasound-guided transversus abdominis plane block in providing analgesia in pediatric cases safe and efficient?: A retrospective study. Medical Science and Discovery, 5(6), 224-228. https://doi.org/10.17546/msd.429382
AMA Binici O, Kocaman OH, Buyukfirat E, Karahan MA, Altay N. Is ultrasound-guided transversus abdominis plane block in providing analgesia in pediatric cases safe and efficient?: A retrospective study. Med Sci Discov. June 2018;5(6):224-228. doi:10.17546/msd.429382
Chicago Binici, Orhan, Osman Hakan Kocaman, Evren Buyukfirat, Mahmut Alp Karahan, and Nuray Altay. “Is Ultrasound-Guided Transversus Abdominis Plane Block in Providing Analgesia in Pediatric Cases Safe and efficient?: A Retrospective Study”. Medical Science and Discovery 5, no. 6 (June 2018): 224-28. https://doi.org/10.17546/msd.429382.
EndNote Binici O, Kocaman OH, Buyukfirat E, Karahan MA, Altay N (June 1, 2018) Is ultrasound-guided transversus abdominis plane block in providing analgesia in pediatric cases safe and efficient?: A retrospective study. Medical Science and Discovery 5 6 224–228.
IEEE O. Binici, O. H. Kocaman, E. Buyukfirat, M. A. Karahan, and N. Altay, “Is ultrasound-guided transversus abdominis plane block in providing analgesia in pediatric cases safe and efficient?: A retrospective study”, Med Sci Discov, vol. 5, no. 6, pp. 224–228, 2018, doi: 10.17546/msd.429382.
ISNAD Binici, Orhan et al. “Is Ultrasound-Guided Transversus Abdominis Plane Block in Providing Analgesia in Pediatric Cases Safe and efficient?: A Retrospective Study”. Medical Science and Discovery 5/6 (June 2018), 224-228. https://doi.org/10.17546/msd.429382.
JAMA Binici O, Kocaman OH, Buyukfirat E, Karahan MA, Altay N. Is ultrasound-guided transversus abdominis plane block in providing analgesia in pediatric cases safe and efficient?: A retrospective study. Med Sci Discov. 2018;5:224–228.
MLA Binici, Orhan et al. “Is Ultrasound-Guided Transversus Abdominis Plane Block in Providing Analgesia in Pediatric Cases Safe and efficient?: A Retrospective Study”. Medical Science and Discovery, vol. 5, no. 6, 2018, pp. 224-8, doi:10.17546/msd.429382.
Vancouver Binici O, Kocaman OH, Buyukfirat E, Karahan MA, Altay N. Is ultrasound-guided transversus abdominis plane block in providing analgesia in pediatric cases safe and efficient?: A retrospective study. Med Sci Discov. 2018;5(6):224-8.