Abstract
Postoperative pain is a common complaint following living kidney donation or tumor resection using the laparoscopic hand-assisted technique. To evaluate the potential analgesic benefit of transversus abdominis plane blocks, we conducted a randomized, double-blind, placebo-controlled study in 21 patients scheduled to undergo elective living-donor nephrectomy or single-sided nephrectomy for tumor. Patients were randomized to receive either 20 mL of 0.5% ropivacaine or 20 mL of 0.9% saline bilaterally to the transversus abdominis plane under ultrasound guidance. We found that transversus abdominis plane blocks reduced overall pain scores at 24 hours, with a trend toward decreased total morphine consumption. Nausea, vomiting, sedation, and time to discharge were not significantly different between the two study groups.
Original language | English (US) |
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Pages (from-to) | 11-16 |
Number of pages | 6 |
Journal | Local and Regional Anesthesia |
Volume | 7 |
Issue number | 1 |
DOIs | |
State | Published - Apr 25 2014 |
Keywords
- Kidney donor
- Nephrectomy
- Transversus abdominis plane block
- Ultrasound guidance
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine