Perioperative medicine & outcomes
Subcostal transversus abdominis plane block for postoperative analgesia in liver transplant recipients: a before-and-after study
Authors' conclusion
Subcostal TAP block appears to have a small opioid reducing effect after orthotopic liver transplantation surgery.
Study context
- Population
- Orthotopic liver transplant recipients, excluding those requiring sedation within 48 hours of surgery, combined liver and kidney transplants or skin-only closures
- Participants
- 78 vs 132
- Comparison
- Bilateral ultrasound-guided subcostal transversus abdominis plane (TAP) block vs no TAP block
- TAP blockn = 78
- non-TAP blockn = 132reference
- Outcome
- Cumulative oral morphine consumption
- Follow-up
- 48 hours after surgery
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Oral morphine equivalent consumption · 48 hours
P < 0.001
Secondary outcomes
- No difference in pain scores between the two groups
Safety
- TAP block-related complications
- 0 · events
Original publication
Subcostal transversus abdominis plane block for postoperative analgesia in liver transplant recipients: a before-and-after study. Reg Anesth Pain Med. Published 17 January 2023. doi:10. 1136/ rapm-2022-103705
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