Ultrasound-guided transversus abdominis plane block for postoperative analgesia in living liver donors: A prospective, randomized, double-blinded clinical trial

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dc.authoridToprak, Hüseyin İlksen/0000-0001-9293-8116
dc.authoridaydogan, mustafa said/0000-0002-7106-1156
dc.authoridUçar, Muharrem/0000-0002-1232-9829
dc.authoridDurmus, Mahmut/0000-0001-9594-9064
dc.authoridÇOLAK, CEMİL/0000-0001-5406-098X
dc.authoridOZGUL, Ulku/0000-0003-3738-1751
dc.authoridErdogan, Mehmet Ali/0000-0002-3860-6919
dc.authorwosidToprak, Hüseyin İlksen/AAN-4023-2020
dc.authorwosidaydogan, mustafa said/AAA-2828-2021
dc.authorwosidUçar, Muharrem/ABH-7761-2020
dc.authorwosidErdogan, Mehmet Ali/ABI-7224-2020
dc.authorwosidDurmus, Mahmut/ABH-3006-2020
dc.authorwosidÇOLAK, CEMİL/ABI-3261-2020
dc.authorwosidDurmuş, Mahmut/AAG-3377-2019
dc.contributor.authorKitlik, Arzu
dc.contributor.authorErdogan, Mehmet Ali
dc.contributor.authorOzgul, Ulku
dc.contributor.authorAydogan, Mustafa Said
dc.contributor.authorUcar, Muharrem
dc.contributor.authorToprak, Huseyin Ilksen
dc.contributor.authorColak, Cemil
dc.date.accessioned2024-08-04T20:42:53Z
dc.date.available2024-08-04T20:42:53Z
dc.date.issued2017
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Transversus abdominis plane (TAP) block is a peripheral nerve block that reduces postoperative pain, nausea, vomiting and the need for postoperative opioids following various types of abdominal surgery. The primary aim of the present study was to evaluate the effects of TAP block on postoperative analgesia and opioid consumption in living liver donors in whom a right J abdominal incision was used. Methods: This prospective, double-blinded, randomized controlled study was conducted with 50 living liver donors, aged 18-65 years, who were scheduled to undergo right hepatectomy. Patients who received ultrasonography-guided subcostal TAP block were allocated into Group 1, and patients who did not receive TAP block were allocated into Group 2. The TAP blocks were performed bilaterally at the conclusion of surgery using 1.5 mg.kg(-1) bupivacaine diluted with saline to reach a total volume of 40 mL For each patient, morphine consumption, pain scores at rest and movement, sedation scores, nausea, vomiting and the need for antiemetic medication were assessed at 0, 2, 4, 6, 12 and 24 h postoperatively by researchers who were blinded to the study groups. Results: Morphine consumption was significantly lower in Group 1 than in Group 2 at the 2nd, 6th and 24th hours (P < 0.05). The mean total morphine consumption values after 24 h were 40 mg and 65 mg in Groups 1 and 2, respectively. The TAP block significantly reduced postoperative visual analog scale pain scores both at rest and during movement at 0, 2, 4, 6, and 24 h postoperatively (P < 0.05). Conclusions: The TAP block reduced 24-h postoperative morphine consumption and contributed to analgesia in living liver donors who underwent upper abdominal wall incisions. (C) 2016 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jclinane.2016.12.018
dc.identifier.endpage107en_US
dc.identifier.issn0952-8180
dc.identifier.issn1873-4529
dc.identifier.pmid28235493en_US
dc.identifier.scopus2-s2.0-85008613576en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage103en_US
dc.identifier.urihttps://doi.org/10.1016/j.jclinane.2016.12.018
dc.identifier.urihttps://hdl.handle.net/11616/97656
dc.identifier.volume37en_US
dc.identifier.wosWOS:000395965200023en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal of Clinical Anesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTransversus abdominis plane blocken_US
dc.subjectPostoperative painen_US
dc.subjectLiving liver donoren_US
dc.titleUltrasound-guided transversus abdominis plane block for postoperative analgesia in living liver donors: A prospective, randomized, double-blinded clinical trialen_US
dc.typeArticleen_US

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