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Date Published: 07/12/2023
Abstract Views: 226
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DOI: https://doi.org/10.51298/vmj.v532i1B.7486
Issue
Vol. 532 No. 1B (2023)
Section
Các bài báo
How to Cite
Huỳnh, T. T. N., & Phan, T. N. V. (2023). THE EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK (TAP BLOCK) UNDER ULTRASOUND WITH ROPIVACAINE 0.25% IN LAPAROSCOPIC COLORECTOMY SURGERY. Vietnam Medical Journal, 532(1B). https://doi.org/10.51298/vmj.v532i1B.7486

THE EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK (TAP BLOCK) UNDER ULTRASOUND WITH ROPIVACAINE 0.25% IN LAPAROSCOPIC COLORECTOMY SURGERY

Trung Thảo Nguyên Huỳnh1,, Tôn Ngọc Vũ Phan1
1 Ho Chi Minh City University of Medicine and Pharmacy Hospital

Main Article Content

Abstract

Objectives: Comparing the total dose of morphine used in the first 24 hours after surgery, the total dose of fentanyl used during surgery, the level of pain at rest and during movement after surgery in 2 groups with and without TAP block. Research subjects and methods: non-blinded randomized controlled clinical trial on patients undergoing elective laparoscopic colorectal surgery  at University of Medicine and Pharmacy Hospital in Ho Chi Minh city from October 2017 to April 2018. Results: average morphine used in 24 hours after surgery decreased by 31.4% (p = 0.0001) corresponding to 25.87 mg in the control group and 17.75 mg in the TAP group. Average morphine used at 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, and 12 hours was not significantly different between the 2 groups. VAS pain scores at postoperative times did not differ between the 2 groups. The total dose of fentanyl used during surgery decreased by 25.6% (p=0.047) in the TAP group (246.43mcg) compared to the control group (331.67mcg). Conclusions: TAP block reduces the total dose of morphine used in the first 24 hours after surgery by 31.4% compared to the control group. The average VAS pain score at rest and during movement in the first 24 hours after surgery did not differ between the 2 groups. TAP block reduced the fentanyl dose used during surgery by 25.6% compared to the control group.

Article Details

Keywords

transversus abdominis plane block (TAP block), VAS pain score, laparoscopic colorectal surgery.

References

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