Efficacy of Post-operative Pain Control with Bilateral TAP Block in Gynecologic Patients Undergoing Surgical Staging in Udonthani Hospital
Keywords:
Bilateral TAP Block, post-operative pain assessment, surgical stagingAbstract
Background: The Transversus Abdominis Plane (TAP) block is relatively regional anesthesia technique that provides analgesia to the parietal peritoneum as well as the skin and muscle of the anterior abdominal wall. It has a high margin of safety and is technically simple to perform, especially under ultrasound guidance.
Objective: To efcacy of post-operative pain control after Bilateral TAP block under ultrasound guided in gynecologic patient undergoing surgical staging, low midline incision
Setting: Operation theater No.504, Excellent Building, Udonthani Hospital Study design: Randomized Controlled Trials.
Method: The study collected data from 24 gynecologic patients undergoing surgical staging, low midline incision under general anesthesia during December 2016-August 2017. Samples were allocated into 2 groups: Group TAP (12 patients) received bilateral TAP block under ultrasound guidance. Group no TAP (12 patients) no received block. The clinical data were records included post-operative pain assessment by VRS at 0, 15 min after start Morphine IV PCA 1, 6, 12, 24 hrs. Post-operative, morphine consumption in frst 24 hrs. postoperative, side effect of Morphine IV PCA and satisfaction score. The statistical analysis was performed using Chi-square test for patients’ characteristics, using t-test for mean, standard deviation and 95% confdence interval and using descriptive analysis for percentage.
Result: There were no other differences in patients’ characteristic. Patients receiving bilateral TAP block were lower pain score (VRS) at 1, 6, 12, 24 hrs. post-operative and early ambulation than patients no receiving block. This was signifcant statistic difference (p<0.005). The average dose of morphine consumption in 24 hrs.post-operative in Group TAP 14.8(12.5) mg. or 0.4(0.2) mg/kg.and in Group no TAP was 52.8(17.1) mg. or 1.0+0.5 mg/kg.
Conclusion: Bilateral TAP Block under ultrasound guided demonstrate good technique and good efcacy for acute post-operative pain controlled in 24 hrs. in gynecologic patients undergoing surgical staging, low midline incision.
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