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

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

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Resumen

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).

Tipo de elemento:

Article

Palabras claves no controlados:

Pain management; Bupivacaine; Anesthesia and analgesia; Ultrasound; Transverse abdominis plane; Laparoscopic cholecystectomy

Materias:

R Medicina > RD Cirugía

Divisiones:

Medicina

Usuario depositante:

Editor Repositorio

Creadores:

Creador	Email	ORCID
Adame Coronel, Daniel	NO ESPECIFICADO	NO ESPECIFICADO
Muñoz Maldonado, Gerardo Enrique	cevam99@gmail.com	orcid.org/0000-0002-8937-7909
Rodríguez Briseño, José Ángel	NO ESPECIFICADO	NO ESPECIFICADO