A randomised controlled trial of bilateral dual transversus abdominis plane blockade for laparoscopic appendicectomy

K Tanggaard; K. Jensen; K Lenz; M Vazin; J Binzer; Viktoria Oline Lindberg-Larsen; M Niegsch; T F Bendtsen; Lars Nannestad Jørgensen; Jens Dupont Børglum Neimann

doi:10.1111/anae.13234

A randomised controlled trial of bilateral dual transversus abdominis plane blockade for laparoscopic appendicectomy

K Tanggaard, K. Jensen, K Lenz, M Vazin, J Binzer, Viktoria Oline Lindberg-Larsen, M Niegsch, T F Bendtsen, Lars Nannestad Jørgensen, Jens Dupont Børglum Neimann

Department of Clinical Medicine

18 Citations (Scopus)

Abstract

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.

Original language	English
Journal	Anaesthesia
Volume	70
Issue number	12
Pages (from-to)	1395-400
Number of pages	6
ISSN	0003-2409
DOIs	https://doi.org/10.1111/anae.13234
Publication status	Published - Dec 2015

Keywords

Abdominal Muscles
Adult
Amides
Appendectomy
Female
Humans
Laparoscopy
Male
Middle Aged
Morphine
Nerve Block

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10.1111/anae.13234

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title = "A randomised controlled trial of bilateral dual transversus abdominis plane blockade for laparoscopic appendicectomy",

abstract = "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.",

keywords = "Abdominal Muscles, Adult, Amides, Appendectomy, Female, Humans, Laparoscopy, Male, Middle Aged, Morphine, Nerve Block",

author = "K Tanggaard and K. Jensen and K Lenz and M Vazin and J Binzer and Lindberg-Larsen, {Viktoria Oline} and M Niegsch and Bendtsen, {T F} and J{\o}rgensen, {Lars Nannestad} and Neimann, {Jens Dupont B{\o}rglum}",

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doi = "10.1111/anae.13234",

language = "English",

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T1 - A randomised controlled trial of bilateral dual transversus abdominis plane blockade for laparoscopic appendicectomy

AU - Tanggaard, K

AU - Jensen, K.

AU - Lenz, K

AU - Vazin, M

AU - Binzer, J

AU - Lindberg-Larsen, Viktoria Oline

AU - Niegsch, M

AU - Bendtsen, T F

AU - Jørgensen, Lars Nannestad

AU - Neimann, Jens Dupont Børglum

PY - 2015/12

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N2 - 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.

AB - 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.

KW - Abdominal Muscles

KW - Adult

KW - Amides

KW - Appendectomy

KW - Female

KW - Humans

KW - Laparoscopy

KW - Male

KW - Middle Aged

KW - Morphine

KW - Nerve Block

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DO - 10.1111/anae.13234

M3 - Journal article

C2 - 26464041

SN - 0003-2409

VL - 70

SP - 1395

EP - 1400

JO - Anaesthesia

JF - Anaesthesia

IS - 12

ER -

A randomised controlled trial of bilateral dual transversus abdominis plane blockade for laparoscopic appendicectomy

Abstract

Keywords

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