Pınar Kendigelen1, Ayse Cigdem Tutuncu2, Emre Erbabacan3, Birsel Ekici4, Guniz Köksal5, Fatis Altındas6, Guner Kaya7. 1. Department of Anesthesiology and Reanimation, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey. Electronic address: pinarken@gmail.com. 2. Department of Anesthesiology and Reanimation, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey. Electronic address: actutuncu@gmail.com. 3. Department of Anesthesiology and Reanimation, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey. Electronic address: emreerbabacan@hotmail.com. 4. Department of Anesthesiology and Reanimation, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey. Electronic address: birselekici@gmail.com. 5. Department of Anesthesiology and Reanimation, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey. Electronic address: gunizkoksal@hotmail.com. 6. Department of Anesthesiology and Reanimation, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey. Electronic address: fatisaltintas@hotmail.com. 7. Department of Anesthesiology and Reanimation, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey. Electronic address: drgunerkaya@gmail.com.
Abstract
STUDY OBJECTIVE: To compare the analgesic efficacy of ultrasound-assisted transversus abdominis plane (TAP) block and wound infiltration during the first postoperative 24hours. DESIGN: A prospective, observer-blinded, randomized, and controlled study SETTING: Operating room of a university hospital. PATIENTS: Forty patients received a TAP block (TAP group) and 40 patients received wound infiltration (INF group) at the end of the surgery. INTERVENTIONS: Patients were randomized to receive a TAP block or wound infiltration. Postoperative analgesics were administered on request and selected based on pain severity. MEASUREMENTS: Pain scores, analgesic drug requirement, and side effects were observed for 24hours. MAIN RESULTS:Postoperative pain scores were lower in TAP group compared to INF group (P<.001). Analgesic consumption was significantly higher at the 5th minute and 1st, 6th, and 12th hours in the INF group (P<.001). The frequency of additional analgesic use in home and the total analgesic used during the postoperative 24hours were significantly higher in INF group (P<.001). Side effects were lower in the TAP group. Parent's satisfaction scores were higher in TAP group. CONCLUSION:Transversus abdominis plane block is effective method with convenient technique, drug dosage, and volume in pediatric patients undergoing inguinal hernia surgery.
RCT Entities:
STUDY OBJECTIVE: To compare the analgesic efficacy of ultrasound-assisted transversus abdominis plane (TAP) block and wound infiltration during the first postoperative 24hours. DESIGN: A prospective, observer-blinded, randomized, and controlled study SETTING: Operating room of a university hospital. PATIENTS: Forty patients received a TAP block (TAP group) and 40 patients received wound infiltration (INF group) at the end of the surgery. INTERVENTIONS:Patients were randomized to receive a TAP block or wound infiltration. Postoperative analgesics were administered on request and selected based on pain severity. MEASUREMENTS: Pain scores, analgesic drug requirement, and side effects were observed for 24hours. MAIN RESULTS:Postoperative pain scores were lower in TAP group compared to INF group (P<.001). Analgesic consumption was significantly higher at the 5th minute and 1st, 6th, and 12th hours in the INF group (P<.001). The frequency of additional analgesic use in home and the total analgesic used during the postoperative 24hours were significantly higher in INF group (P<.001). Side effects were lower in the TAP group. Parent's satisfaction scores were higher in TAP group. CONCLUSION: Transversus abdominis plane block is effective method with convenient technique, drug dosage, and volume in pediatric patients undergoing inguinal hernia surgery.