Ultrasound-guided transversus abdominis plane blocks for patients undergoing laparoscopic hand-assisted nephrectomy: A randomized, placebo-controlled trial

Stephen Aniskevich, C. Burcin Taner, Dana K. Perry, Christopher B. Robards, Steven B. Porter, Colleen Thomas, I. Ilana Logvinov, Steven R. Clendenen

Research output: Contribution to journalArticle

13 Scopus citations

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 languageEnglish (US)
Pages (from-to)11-16
Number of pages6
JournalLocal and Regional Anesthesia
Volume7
Issue number1
DOIs
StatePublished - Apr 25 2014

Keywords

  • Kidney donor
  • Nephrectomy
  • Transversus abdominis plane block
  • Ultrasound guidance

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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  • Cite this

    Aniskevich, S., Taner, C. B., Perry, D. K., Robards, C. B., Porter, S. B., Thomas, C., Logvinov, I. I., & Clendenen, S. R. (2014). Ultrasound-guided transversus abdominis plane blocks for patients undergoing laparoscopic hand-assisted nephrectomy: A randomized, placebo-controlled trial. Local and Regional Anesthesia, 7(1), 11-16. https://doi.org/10.2147/LRA.S61589