TAP block comfort for lower abdominal surgery in pediatric patients

Authors : Feyza ÖZKAN

Pages : 772-780

Doi:10.17826/cumj.1216281

View : 40 | Download : 57

Publication Date : 2023-09-30

Article Type : Research Paper

Abstract :Purpose: The aim of this study was to examine the effect of The transversus abdominis plane insert ignore into journalissuearticles values(TAP); block after lower abdominal surgery on pain severity and additional analgesic requirement in a pediatric patient group. Materials and Methods: In this retrospective study, 46 ASA I children aged 2-18 years undergoing abdominal surgery were divided into two groups. Group T insert ignore into journalissuearticles values(n: 20); patients who were under the general anesthesia received ultrasound-guided TAP block with 0.5 mL/kg of 0.25% bupivacaine immediately after the operation. Group O insert ignore into journalissuearticles values(n: 26); patients were administered intravenous insert ignore into journalissuearticles values(I.V.); 2 µcg/kg opioid insert ignore into journalissuearticles values(fentanyl); analgesia after recovery from general anesthesia. The patients were taken to the post-anesthesia care unit insert ignore into journalissuearticles values(PACU); for recovery and initial pain observation. Patients pain was assessed by using the Visual Analogue Scale insert ignore into journalissuearticles values(VAS); score within the first 24 hours following surgery. Results: The incidence of the additional analgesic requirement in the TAP blockinsert ignore into journalissuearticles values(%15); group was statistically significantly lower than in the I.V. opioid groupinsert ignore into journalissuearticles values(%65);. There was a difference between the first analgesic requirement and the discharging time according to TAP block administration, but it was statistically insignificant. The VAS scores at 4 hr and 8 hr in the TAP block group were statistically significantly lower than in the IV opioid groupinsert ignore into journalissuearticles values(4.VAS:4.90±1,21 5.90±0.85; 8.VAS:4.05±0.76 3.10±0.85);. The VAS scores at postoperative 2 hr were decreased in both groups. However, the decrease in the VAS score at 2 hr was greater in the TAP block group. Conclusion: TAP block was superior to IV opioids in reducing additional analgesic requirements in pediatric patients undergoing abdominal surgery. It will contribute further to early discharging a patient as it allows early mobilization.
Keywords : TAP blok, çocuk hasta, abdominal cerrahi, VAS, opioid