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01.02.2016 | Original Article

The efficacy of continuous subcostal transversus abdominis plane block for analgesia after living liver donation: a retrospective study

verfasst von: Akihiko Maeda, Sho Carl Shibata, Hiroshi Wada, Shigeru Marubashi, Takahiko Kamibayashi, Hidetoshi Eguchi, Yuji Fujino

Erschienen in: Journal of Anesthesia | Ausgabe 1/2016

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Abstract

Purpose

Postoperative pain management for living liver donors has become a major concern as a result of the increasing number of living liver donations. Transversus abdominis plane (TAP) block has been known to provide effective analgesia for abdominal surgery. The aim of this study was to evaluate the efficacy of ultrasound-guided continuous subcostal TAP block as a part of a multimodal analgesic regimen in comparison with conventional intravenous (IV) fentanyl-based analgesia in living liver donors.

Methods

Thirty-two donors were retrospectively classified into either the continuous subcostal TAP block group (TAP group) or the IV fentanyl-based analgesia group (control group). TAP group donors received bilateral continuous subcostal TAP infusion of 0.125 % levobupivacaine at 6 ml/h. Control group donors did not receive any neural blockade.

Results

Cumulative fentanyl consumption was significantly lower in the TAP group for 48 h (P < 0.01) as compared to the control group. Further, the donors in the TAP group had significantly lower incidence of nausea and vomiting during 24–48 h postoperatively (P < 0.01) and fewer delays in the initiation of oral intake than those in the control group (P = 0.02).

Conclusions

In conclusion, continuous subcostal TAP block provided an effective opioid-sparing analgesia for living liver donors.

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Titel: The efficacy of continuous subcostal transversus abdominis plane block for analgesia after living liver donation: a retrospective study
verfasst von: Akihiko Maeda
Sho Carl Shibata
Hiroshi Wada
Shigeru Marubashi
Takahiko Kamibayashi
Hidetoshi Eguchi
Yuji Fujino
Publikationsdatum: 01.02.2016
Verlag: Springer Japan
Erschienen in: Journal of Anesthesia / Ausgabe 1/2016
Print ISSN: 0913-8668
Elektronische ISSN: 1438-8359
DOI: https://doi.org/10.1007/s00540-015-2085-x

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The efficacy of continuous subcostal transversus abdominis plane block for analgesia after living liver donation: a retrospective study