Transversus Abdominis Plane Catheter Bolus Analgesia after Major Abdominal Surgery
Purpose. Transversus abdominis plane (TAP) blocks have been shown to reduce pain and opioid requirements after abdominal surgery. The aim of the present case series was to demonstrate the use of TAP catheter injections of bupivacaine after major abdominal surgery. Methods. Fifteen patients scheduled...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/596536 |
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| author | Nils Bjerregaard Lone Nikolajsen Thomas Fichtner Bendtsen Bodil Steen Rasmussen |
| author_facet | Nils Bjerregaard Lone Nikolajsen Thomas Fichtner Bendtsen Bodil Steen Rasmussen |
| author_sort | Nils Bjerregaard |
| collection | DOAJ |
| description | Purpose. Transversus abdominis plane (TAP) blocks have been shown to reduce pain and opioid requirements after abdominal surgery. The aim of the present case series was to demonstrate the use of TAP catheter injections of bupivacaine after major abdominal surgery. Methods. Fifteen patients scheduled for open colonic resection surgery were included. After induction of anesthesia, bilateral TAP catheters were placed, and all patients received a bolus dose of 20 mL bupivacaine 2.5 mg/mL with epinephrine 5 μg/mL through each catheter. Additional bolus doses were injected bilaterally 12, 24, and 36 hrs after the first injections. Supplemental pain treatment consisted of paracetamol, ibuprofen, and gabapentin. Intravenous morphine was used as rescue analgesic. Postoperative pain was rated on a numeric rating scale (NRS, 0–10) at regular predefined intervals after surgery, and consumption of intravenous morphine was recorded. Results. The TAP catheters were placed without any technical difficulties. NRS scores were ≤3 at rest and ≤5 during cough at 4, 8, 12, 18, 24, and 36 hrs after surgery. Cumulative consumption of intravenous morphine was 28 (23–48) mg (median, IQR) within the first 48 postoperative hours. Conclusion. TAP catheter bolus injections can be used to prolong analgesia after major abdominal surgery. |
| format | Article |
| id | doaj-art-ba9f1586b7484f1a8c15d0d93e86a02e |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
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| series | Anesthesiology Research and Practice |
| spelling | doaj-art-ba9f1586b7484f1a8c15d0d93e86a02e2025-02-03T06:07:54ZengWileyAnesthesiology Research and Practice1687-69621687-69702012-01-01201210.1155/2012/596536596536Transversus Abdominis Plane Catheter Bolus Analgesia after Major Abdominal SurgeryNils Bjerregaard0Lone Nikolajsen1Thomas Fichtner Bendtsen2Bodil Steen Rasmussen3Department of Anesthesiology, Aalborg Hospital, Aarhus University, 9000 Aalborg, DenmarkDepartment of Anesthesiology, Aarhus University Hospital, 8000 Aarhus, DenmarkDepartment of Anesthesiology, Aarhus University Hospital, 8000 Aarhus, DenmarkDepartment of Anesthesiology, Aalborg Hospital, Aarhus University, 9000 Aalborg, DenmarkPurpose. Transversus abdominis plane (TAP) blocks have been shown to reduce pain and opioid requirements after abdominal surgery. The aim of the present case series was to demonstrate the use of TAP catheter injections of bupivacaine after major abdominal surgery. Methods. Fifteen patients scheduled for open colonic resection surgery were included. After induction of anesthesia, bilateral TAP catheters were placed, and all patients received a bolus dose of 20 mL bupivacaine 2.5 mg/mL with epinephrine 5 μg/mL through each catheter. Additional bolus doses were injected bilaterally 12, 24, and 36 hrs after the first injections. Supplemental pain treatment consisted of paracetamol, ibuprofen, and gabapentin. Intravenous morphine was used as rescue analgesic. Postoperative pain was rated on a numeric rating scale (NRS, 0–10) at regular predefined intervals after surgery, and consumption of intravenous morphine was recorded. Results. The TAP catheters were placed without any technical difficulties. NRS scores were ≤3 at rest and ≤5 during cough at 4, 8, 12, 18, 24, and 36 hrs after surgery. Cumulative consumption of intravenous morphine was 28 (23–48) mg (median, IQR) within the first 48 postoperative hours. Conclusion. TAP catheter bolus injections can be used to prolong analgesia after major abdominal surgery.http://dx.doi.org/10.1155/2012/596536 |
| spellingShingle | Nils Bjerregaard Lone Nikolajsen Thomas Fichtner Bendtsen Bodil Steen Rasmussen Transversus Abdominis Plane Catheter Bolus Analgesia after Major Abdominal Surgery Anesthesiology Research and Practice |
| title | Transversus Abdominis Plane Catheter Bolus Analgesia after Major Abdominal Surgery |
| title_full | Transversus Abdominis Plane Catheter Bolus Analgesia after Major Abdominal Surgery |
| title_fullStr | Transversus Abdominis Plane Catheter Bolus Analgesia after Major Abdominal Surgery |
| title_full_unstemmed | Transversus Abdominis Plane Catheter Bolus Analgesia after Major Abdominal Surgery |
| title_short | Transversus Abdominis Plane Catheter Bolus Analgesia after Major Abdominal Surgery |
| title_sort | transversus abdominis plane catheter bolus analgesia after major abdominal surgery |
| url | http://dx.doi.org/10.1155/2012/596536 |
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