Perioperative medicine & outcomes

Subcostal transversus abdominis plane block for postoperative analgesia in liver transplant recipients: a before-and-after study

Reg Anesth Pain MedPublished 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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