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A randomised controlled trial of bilateral dual transversus abdominis plane blockade for laparoscopic appendicectomy
Author(s) -
Tanggaard K.,
Jensen K.,
Lenz K.,
Vazin M.,
Binzer J.,
LindbergLarsen V. O.,
Niegsch M.,
Bendtsen T. F.,
Jorgensen L. N.,
Børglum J.
Publication year - 2015
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/anae.13234
Subject(s) - medicine , ropivacaine , anesthesia , saline , postoperative nausea and vomiting , sitting , nausea , morphine , laparoscopy , vomiting , surgery , pathology
Summary 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.