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Purely ropivacaine-based TEA vs single TAP block in pain management after elective laparoscopic colon surgery within an upgraded institutional ERAS program
- Source :
- Surgical Endoscopy
- Publication Year :
- 2022
-
Abstract
- Background The aim of this study was to compare thoracic epidural analgesia (TEA) with transversus abdominis plane (TAP) block in post-operative pain management after laparoscopic colon surgery. Methods One hundred thirty-six patients undergoing laparoscopic colon resection randomly received either TEA or TAP with ropivacaine only. The primary endpoint was opioid requirement up to 48 h postoperatively. Intensity of pain, time to onset of bowel function, time to mobilization, postoperative complications, length of hospital stay, and patients’ satisfaction with pain management were also assessed. Results We observed a significant decrease in opioid consumption on the day of surgery with TEA compared with TAP block (30 mg vs 14 mg, p p = 0.021). There were no differences in postoperative nausea/vomiting or time to first postoperative bowel movement between the groups. No direct blockade-related complications were observed and the length of stay was similar between TEA and TAP groups. Conclusion TEA is more efficient for acute postoperative pain than TAP block on day of surgery, but not on the first two PODs. No differences in pain management-related complications were detected.
- Subjects :
- Colon
Article
Colon surgery
Transversus Abdominis Plane Block
Thoracic epidural analgesia
Clinical endpoint
medicine
Humans
Ropivacaine
Abdominal Muscles
Pain, Postoperative
business.industry
3126 Surgery, anesthesiology, intensive care, radiology
Pain management
Analgesics, Opioid
Opioid
Anesthesia
Transversus abdominis plane block
Vomiting
Laparoscopic colon surgery
Defecation
Surgery
Laparoscopy
medicine.symptom
business
ERAS (enhanced recovery after surgery)
Abdominal surgery
medicine.drug
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Surgical Endoscopy
- Accession number :
- edsair.doi.dedup.....137d2ebeda4cb63b0d9a7b1b49ce5315