Using the posterior TAP block for postoperative analgesia for major liver surgery in pediatrics
Anesthesiological provision of pediatric liver surgery is associated with problems related to perioperative analgesia. Standard methods of anesthesia can have contraindications and complications.The objective: To evaluate the safety and efficacy of the posterior TAP block for postoperative analgesia...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2022-07-01
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| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/673 |
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| author | E. K. Bespalov A. Yu. Zaitsev D. I. Novikov K. V. Dubrovin A. V. Filin |
| author_facet | E. K. Bespalov A. Yu. Zaitsev D. I. Novikov K. V. Dubrovin A. V. Filin |
| author_sort | E. K. Bespalov |
| collection | DOAJ |
| description | Anesthesiological provision of pediatric liver surgery is associated with problems related to perioperative analgesia. Standard methods of anesthesia can have contraindications and complications.The objective: To evaluate the safety and efficacy of the posterior TAP block for postoperative analgesia in pediatric liver surgery.Subjects and Methods. A prospective, single, blind, placebo-controlled pilot study was conducted. The participants were children aged 2 to 7 who underwent liver resection. The patients were divided into groups. In Control Group, combined anesthesia was performed. In Study Group, it was combined with a bilateral posterior TAP block. Pain in the postoperative period was assessed by the FLACC scale.Results. The intensity of pain in the postoperative period was higher in Control Group. More patients required tramadol administration in Control Group. There was no difference in the occurrence of the PONV syndrome. No complications associated with the block were noted.Conclusion. The posterior TAP block has a clinically significant analgesic effect and can be used for perioperative pain relief during pediatric liver surgery. This method is relatively safe. Impaired hemostasis system is not an absolute contraindication to a TAP block. |
| format | Article |
| id | doaj-art-8ab50be25751444cb2d1deba52b90ad7 |
| institution | Kabale University |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| publishDate | 2022-07-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj-art-8ab50be25751444cb2d1deba52b90ad72025-08-20T03:56:32ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532022-07-01193495410.21292/2078-5658-2022-19-3-49-54526Using the posterior TAP block for postoperative analgesia for major liver surgery in pediatricsE. K. Bespalov0A. Yu. Zaitsev1D. I. Novikov2K. V. Dubrovin3A. V. Filin4Russian Surgery Research Center Named after B. V. PetrovskyRussian Surgery Research Center Named after B. V. Petrovsky; Sechenov First Moscow State Medical University (Sechenov University)Russian Surgery Research Center Named after B. V. PetrovskyRussian Surgery Research Center Named after B. V. Petrovsky; Sechenov First Moscow State Medical University (Sechenov University)Russian Surgery Research Center Named after B. V. PetrovskyAnesthesiological provision of pediatric liver surgery is associated with problems related to perioperative analgesia. Standard methods of anesthesia can have contraindications and complications.The objective: To evaluate the safety and efficacy of the posterior TAP block for postoperative analgesia in pediatric liver surgery.Subjects and Methods. A prospective, single, blind, placebo-controlled pilot study was conducted. The participants were children aged 2 to 7 who underwent liver resection. The patients were divided into groups. In Control Group, combined anesthesia was performed. In Study Group, it was combined with a bilateral posterior TAP block. Pain in the postoperative period was assessed by the FLACC scale.Results. The intensity of pain in the postoperative period was higher in Control Group. More patients required tramadol administration in Control Group. There was no difference in the occurrence of the PONV syndrome. No complications associated with the block were noted.Conclusion. The posterior TAP block has a clinically significant analgesic effect and can be used for perioperative pain relief during pediatric liver surgery. This method is relatively safe. Impaired hemostasis system is not an absolute contraindication to a TAP block.https://www.vair-journal.com/jour/article/view/673tap blockchildrenliver surgery |
| spellingShingle | E. K. Bespalov A. Yu. Zaitsev D. I. Novikov K. V. Dubrovin A. V. Filin Using the posterior TAP block for postoperative analgesia for major liver surgery in pediatrics Вестник анестезиологии и реаниматологии tap block children liver surgery |
| title | Using the posterior TAP block for postoperative analgesia for major liver surgery in pediatrics |
| title_full | Using the posterior TAP block for postoperative analgesia for major liver surgery in pediatrics |
| title_fullStr | Using the posterior TAP block for postoperative analgesia for major liver surgery in pediatrics |
| title_full_unstemmed | Using the posterior TAP block for postoperative analgesia for major liver surgery in pediatrics |
| title_short | Using the posterior TAP block for postoperative analgesia for major liver surgery in pediatrics |
| title_sort | using the posterior tap block for postoperative analgesia for major liver surgery in pediatrics |
| topic | tap block children liver surgery |
| url | https://www.vair-journal.com/jour/article/view/673 |
| work_keys_str_mv | AT ekbespalov usingtheposteriortapblockforpostoperativeanalgesiaformajorliversurgeryinpediatrics AT ayuzaitsev usingtheposteriortapblockforpostoperativeanalgesiaformajorliversurgeryinpediatrics AT dinovikov usingtheposteriortapblockforpostoperativeanalgesiaformajorliversurgeryinpediatrics AT kvdubrovin usingtheposteriortapblockforpostoperativeanalgesiaformajorliversurgeryinpediatrics AT avfilin usingtheposteriortapblockforpostoperativeanalgesiaformajorliversurgeryinpediatrics |