Why the study?
Does pre-operative ultrasound-guided bilateral dual transversus abdominis plane block with ropivacaine reduce postoperative pain in patients undergoing laparoscopic appendicectomy?
Does pre-operative ultrasound-guided bilateral dual transversus abdominis plane block with ropivacaine reduce postoperative pain in patients undergoing laparoscopic appendicectomy?
Pre-operative ultrasound-guided bilateral dual transversus abdominis plane blocks with ropivacaine significantly reduce pain at rest and on sitting during the first 12 hours after laparoscopic appendicectomy.
Supports pre-operative bilateral dual TAP blocks with ropivacaine for laparoscopic appendicectomy; extends regional anesthesia evidence in minimally invasive abdominal surgery.
We investigated the effects of pre-operative ultrasound-guided bilateral dual transversus abdominis plane blocks on pain when sitting up and pain at rest after laparoscopic appendicectomy. We allocated 28 participants to injection with 60 ml ropivacaine 0.375% and 28 participants to 60 ml isotonic saline. The median (IQR [range]) cumulative pain scores during the first 12 postoperative hours were less after ropivacaine than saline (maximum 120): on sitting, 34 (19-46 [0-59]) vs 50 (30-59 [0-97]), respectively, p = 0.009; and at rest, 25 (10-33 [0-49]) vs 31 (24-43 [0-72]), respectively, p = 0.035. There were no differences in morphine consumption, nausea, vomiting, time in recovery or time to walk.
No takes yet. Share an insight, caveat, or question.
Tanggaard et al. (2015) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: