• Anaesthesia · Dec 2015

    Randomized Controlled Trial

    A randomised controlled trial of bilateral dual transversus abdominis plane blockade for laparoscopic appendicectomy.

    • K Tanggaard, K Jensen, K Lenz, M Vazin, J Binzer, V O Lindberg-Larsen, M Niegsch, T F Bendtsen, L N Jorgensen, and J Børglum.
    • Department of Anaesthesia and Intensive Care Medicine, Copenhagen University Hospital - Roskilde, Roskilde, Denmark.
    • Anaesthesia. 2015 Dec 1;70(12):1395-400.

    AbstractWe investigated the effects of pre-operative ultrasound-guided bilateral dual transversus abdominis plane blocks on pain when sitting up and pain at rest after laparoscopic appendicectomy. We allocated 28 participants to injection with 60 ml ropivacaine 0.375% and 28 participants to 60 ml isotonic saline. The median (IQR [range]) cumulative pain scores during the first 12 postoperative hours were less after ropivacaine than saline (maximum 120): on sitting, 34 (19-46 [0-59]) vs 50 (30-59 [0-97]), respectively, p = 0.009; and at rest, 25 (10-33 [0-49]) vs 31 (24-43 [0-72]), respectively, p = 0.035. There were no differences in morphine consumption, nausea, vomiting, time in recovery or time to walk.© 2015 The Association of Anaesthetists of Great Britain and Ireland.

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