지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.85 No.3
- 발행연도
- 2013.9
- 수록면
- 128 - 133 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Transversus abdominis plane (TAP) block is a newly developed and effective peripheral block involving the nerves of the anterior abdominal wall for lower abdominal surgery. We evaluated the postoperative analgesic efficacy of ultrasoundguided TAP block using 20 mL of 0.5% levobupivacaine in patients undergoing open appendectomy.
Methods: Forty-four patients undergoing appendectomy were assigned either to undergo a right sided-TAP block (group I, n = 22), or to receive standard care (group II, n = 22). All patients received standard anesthetics, and the TAP block group received ultrasound-guided right side TAP block using 20 mL of 0.5% levobupivacaine after induction of anesthesia. All patients received acetaminophen, and nonsteroidal anti-inflammatory drug as required during the 48 postoperative hours. Each patients was assessed for time to first rescue analgesia, verbal numerical rating pain scores (VNRS), number of rescue analgesic demands, nausea, vomiting, pruritus, and drowsiness by a blinded investigator at 0, 1, 3, 6, 12, 24 and 48 hours postoperatively.
Results: The TAP block group with levobupivacaine compared to the control group reduced VNRS significantly up to 12 hours postoperatively. There were no significant differences in time to first analgesia, number of rescue analgesics demands, nausea, vomiting, pruritus and drowsiness between the groups. There were no complications attributable to the TAP block.
Conclusion: Ultrasound-guided TAP block using 20 mL of 0.5% levobupivacaine provided effective postoperative analgesia during the 12 postoperative hours after an open appendectomy.
Methods: Forty-four patients undergoing appendectomy were assigned either to undergo a right sided-TAP block (group I, n = 22), or to receive standard care (group II, n = 22). All patients received standard anesthetics, and the TAP block group received ultrasound-guided right side TAP block using 20 mL of 0.5% levobupivacaine after induction of anesthesia. All patients received acetaminophen, and nonsteroidal anti-inflammatory drug as required during the 48 postoperative hours. Each patients was assessed for time to first rescue analgesia, verbal numerical rating pain scores (VNRS), number of rescue analgesic demands, nausea, vomiting, pruritus, and drowsiness by a blinded investigator at 0, 1, 3, 6, 12, 24 and 48 hours postoperatively.
Results: The TAP block group with levobupivacaine compared to the control group reduced VNRS significantly up to 12 hours postoperatively. There were no significant differences in time to first analgesia, number of rescue analgesics demands, nausea, vomiting, pruritus and drowsiness between the groups. There were no complications attributable to the TAP block.
Conclusion: Ultrasound-guided TAP block using 20 mL of 0.5% levobupivacaine provided effective postoperative analgesia during the 12 postoperative hours after an open appendectomy.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (15)
참고문헌 신청
1. [학술지(정기간행물)] - Aida S / 1999 / The effectiveness of preemptive analgesia varies according to the type of surgery: a randomized, double-blind study / Anesth Analg 89 : 711 ~ 716
2. [학술지(정기간행물)] - Buvanendran A / 2007 / Useful adjuvants for postoperative pain management / Best Pract Res Clin Anaesthesiol 21 : 31 ~ 49
3. [학술지(정기간행물)] - White PF. / 2005 / The changing role of non-opioid analgesic techniques in the management of postoperative pain / Anesth Analg 101 (5 Suppl) : S5 ~ S22
4. [학술지(정기간행물)] - Carney J / 2008 / The transverses abdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy / Anesth Analg 107 : 2056 ~ 2060
5. [학술지(정기간행물)] - McDonnell JG / 2008 / The analgesic efficacy of transversus abdominis plane block after cesarean delivery: a randomized controlled trial / Anesth Analg 106 : 186 ~ 191
2. [학술지(정기간행물)] - Buvanendran A / 2007 / Useful adjuvants for postoperative pain management / Best Pract Res Clin Anaesthesiol 21 : 31 ~ 49
3. [학술지(정기간행물)] - White PF. / 2005 / The changing role of non-opioid analgesic techniques in the management of postoperative pain / Anesth Analg 101 (5 Suppl) : S5 ~ S22
4. [학술지(정기간행물)] - Carney J / 2008 / The transverses abdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy / Anesth Analg 107 : 2056 ~ 2060
5. [학술지(정기간행물)] - McDonnell JG / 2008 / The analgesic efficacy of transversus abdominis plane block after cesarean delivery: a randomized controlled trial / Anesth Analg 106 : 186 ~ 191
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UCI(KEPA) : I410-ECN-0101-2014-510-002804893