Regional anesthesia

Ultrasound-guided external oblique intercostal plane block versus subcostal transversus abdominis plane block for postoperative analgesia in living liver donors: A prospective randomized trial

J Clin AnesthPublished Randomised controlled trial

Authors' conclusion

The results of the study showed that there were no statistically significant differences in 24-h morphine consumption or pain scores at rest and during movement between the subcostal TAP and EOI block groups in living liver donors undergoing right hepatectomy.

Study context

Population
Living liver donors undergoing right hepatectomy; postoperative IV morphine patient-controlled analgesia (PCA)
Comparison
EOI block vs subcostal transversus abdominis plane (TAP) block
Primary endpoint
IV morphine consumption
Follow-up
First 24 h postoperatively
Methodological detailsprospective
  • Prospective

Primary result

As reported in the abstract

Morphine consumption · 24 h postoperatively

EOI block

23.5

median · IQR 19.5–27.5

Subcostal TAP block

26

median · IQR 24–28

Further findings

Numerical rating scale (NRS) scores at rest and during movement · 2, 6, 12 and 24 h

No significant differences between groups

Safety

No block-related complications in any patient

Original publication

Ultrasound-guided external oblique intercostal plane block versus subcostal transversus abdominis plane block for postoperative analgesia in living liver donors: A prospective randomized trial. J Clin Anesth. Published 19 August 2025. doi:10.1016/j.jclinane.2025.111971

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