THE EFFECTIVENESS OF TAP-BLOCK UNDER ULTRASOUND
Keywords:
pain, anesthesia transverse abdominal space, TAP-block, postoperative analgesiaAbstract
Aim. To assess the effectiveness of the TAP-block (Transversus Abdominis Plane Block) performed under ultrasound control during 24 hours after hysterectomy. Materials and methods. 36 patients were divided into two groups: group A (n=18) — the standard analgesia (omnopon, ketorolac); Group B (n=18) — the standard analgesia + TAP block. In group B, after premedication with diazepam 10 mg/m 20 ml of 0.375% bupivacaine were introduced in neuro-fascial space transverse abdominal muscles in the lumbar Petit triangle on both sides. Puncture was performed with spinal needle G 22 under US control. The quality of analgesia was evaluated at 2, 4, 6 and 24 hrs after surgery. Results. The use of TAP-block reduce in fewer points visual analogue pain scale after surgery and at all subsequent time steps, including 24 hrs. Omnopon necessity during the first 24 hrs after surgery was also lower in B and, respectively, were lower incidence of postoperative nausea and vomiting. Complications associated with TAP-block were not observed. Conclusions. TAP-block using ultrasound monitoring, provides high analgesia during first 24 hrs after hysterectomy.
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