Comparative study between ultrasound guided tap block and paravertebral block in upper abdominal surgeries. Randomized controlled trial
Background: TAP and the paravertebral block both have been described as successful as an adjunct for postoperative analgesia following abdominal procedures. The proposed benefits of both include the avoidance of neuraxial analgesic techniques and their associated risks, as well as a reported reduction in opioid consumption. Objective: This study was to compare between ultrasound guided (TAP) block and ultrasound guided paravertebral block (PVB) and their effect as regards postoperative analgesia, the total analgesic requirements 24h after abdominal surgeries, their impact on stress response and incidence of postoperative complications. Methods: We performed a randomized controlled trial on 80 patients subjected to unilateral upper abdominal surgeries of both sexes, age between 20 and 50, and ASA physical status I-II. Patients were randomly divided into two equal groups: Group (I): 40 patients undergoing ultrasound guided unilateral transversus abdominis plane block and Group (II): 40 patients undergoing ultrasound guided unilateral thoracic paravertebral block. Results: There was a significant decrease in VAS scores in PVB group with relatively longer time to 1st order analgesia and relatively lower analgesic requirements than TAP group as regards stress response and both groups attenuate increase in postoperative stress hormone with no significant difference. On the other hand PVB group decreases PONV more than TAP group with no significant difference between both groups as regards total ephedrine consumption. Conclusion: We concluded that ultrasound guided transversus abdominis plane block and thoracic paravertebral block were safe and effective anesthetic technique for upper abdominal surgery with longer and potent postoperative analgesia in thoracic paravertebral block than transversus abdominis block.
- 원문이 없습니다.
유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.
원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.
NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.
- 이 논문과 함께 출판된 논문 + 더보기