US-TAP BLOCK. An alternative in the management of pain posterior to a laparoscopic cholecystectomy at our university hospital

Use and evaluate the US-TAP BLOCK (Ultrasound Transverse Abdominis Plane Block) for the management of postoperative pain in patients submitted to ambulatory laparoscopic cholecystectomy at the General Surgery service of the ‘‘Dr. José E. González’’ University Hospital. Materials and methods: Clinic...

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Autores principales: Adame Coronel, Daniel, Muñoz Maldonado, Gerardo Enrique, Rodríguez Briseño, José Ángel
Formato: Artículo
Lenguaje:inglés
Publicado: UANL. Facultad de Medicina 2015
Materias:
Acceso en línea:http://eprints.uanl.mx/11673/1/S166557961500037X_S300_en.pdf
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author Adame Coronel, Daniel
Muñoz Maldonado, Gerardo Enrique
Rodríguez Briseño, José Ángel
author_facet Adame Coronel, Daniel
Muñoz Maldonado, Gerardo Enrique
Rodríguez Briseño, José Ángel
author_sort Adame Coronel, Daniel
collection Repositorio Institucional
description Use and evaluate the US-TAP BLOCK (Ultrasound Transverse Abdominis Plane Block) for the management of postoperative pain in patients submitted to ambulatory laparoscopic cholecystectomy at the General Surgery service of the ‘‘Dr. José E. González’’ University Hospital. Materials and methods: Clinical trial, experimental, transversal, comparative, prospective, blind study with 24 patients. 12 patients in the ‘‘control’’ group, where pain was managed with intravenous administration of ketorolac 30 mg, and 12 patients in the ‘‘cases’’ group using US-TAP BLOCK with bupivacaine 0.5% for pain control. We evaluated the pain level using the Visual Analog Scale (VAS) at 1/2/4/6 h postoperatively. Whenever the patients presented severe pain (VAS >6), tramadol 50 mg was administered intravenously as a rescue drug. Results: Gallbladder disease was more frequent in the female gender (87.5%), between 40---49 years old (37.5%), the majority were overweight (54.1%). The predominant histopathological diagnosis was cholecystolithiasis (38%). We observed no difference between the levels of postoperative pain in the compared groups. The use of rescue drugs was lower in the case group (p = 0.035).
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spelling eprints-116732024-03-05T20:48:26Z http://eprints.uanl.mx/11673/ US-TAP BLOCK. An alternative in the management of pain posterior to a laparoscopic cholecystectomy at our university hospital Adame Coronel, Daniel Muñoz Maldonado, Gerardo Enrique Rodríguez Briseño, José Ángel RD Cirugía Use and evaluate the US-TAP BLOCK (Ultrasound Transverse Abdominis Plane Block) for the management of postoperative pain in patients submitted to ambulatory laparoscopic cholecystectomy at the General Surgery service of the ‘‘Dr. José E. González’’ University Hospital. Materials and methods: Clinical trial, experimental, transversal, comparative, prospective, blind study with 24 patients. 12 patients in the ‘‘control’’ group, where pain was managed with intravenous administration of ketorolac 30 mg, and 12 patients in the ‘‘cases’’ group using US-TAP BLOCK with bupivacaine 0.5% for pain control. We evaluated the pain level using the Visual Analog Scale (VAS) at 1/2/4/6 h postoperatively. Whenever the patients presented severe pain (VAS >6), tramadol 50 mg was administered intravenously as a rescue drug. Results: Gallbladder disease was more frequent in the female gender (87.5%), between 40---49 years old (37.5%), the majority were overweight (54.1%). The predominant histopathological diagnosis was cholecystolithiasis (38%). We observed no difference between the levels of postoperative pain in the compared groups. The use of rescue drugs was lower in the case group (p = 0.035). UANL. Facultad de Medicina 2015 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/11673/1/S166557961500037X_S300_en.pdf http://eprints.uanl.mx/11673/1.haspreviewThumbnailVersion/S166557961500037X_S300_en.pdf Adame Coronel, Daniel y Muñoz Maldonado, Gerardo Enrique y Rodríguez Briseño, José Ángel (2015) US-TAP BLOCK. An alternative in the management of pain posterior to a laparoscopic cholecystectomy at our university hospital. Medicina universitaria, 17 (69). pp. 203-206. ISSN 1665-5796
spellingShingle RD Cirugía
Adame Coronel, Daniel
Muñoz Maldonado, Gerardo Enrique
Rodríguez Briseño, José Ángel
US-TAP BLOCK. An alternative in the management of pain posterior to a laparoscopic cholecystectomy at our university hospital
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title US-TAP BLOCK. An alternative in the management of pain posterior to a laparoscopic cholecystectomy at our university hospital
title_full US-TAP BLOCK. An alternative in the management of pain posterior to a laparoscopic cholecystectomy at our university hospital
title_fullStr US-TAP BLOCK. An alternative in the management of pain posterior to a laparoscopic cholecystectomy at our university hospital
title_full_unstemmed US-TAP BLOCK. An alternative in the management of pain posterior to a laparoscopic cholecystectomy at our university hospital
title_short US-TAP BLOCK. An alternative in the management of pain posterior to a laparoscopic cholecystectomy at our university hospital
title_sort us tap block an alternative in the management of pain posterior to a laparoscopic cholecystectomy at our university hospital
topic RD Cirugía
url http://eprints.uanl.mx/11673/1/S166557961500037X_S300_en.pdf
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