Academic Journal

Comparative study of continuous surgical transverse abdominis plane block versus intravenous fentanyl infusion for postoperative pain management in open nephrectomy

التفاصيل البيبلوغرافية
العنوان: Comparative study of continuous surgical transverse abdominis plane block versus intravenous fentanyl infusion for postoperative pain management in open nephrectomy
المؤلفون: Anand M, Geetha Soundarya Udayakumar, Raj Murugan, Jalakandan B, Raghuraman M Sethuraman
المصدر: Journal of Krishna Institute of Medical Sciences University, Vol 12, Iss 2, Pp 48-56 (2023)
بيانات النشر: Krishna Vishwa Vidyapeeth (Deemed to be University), Karad, 2023.
سنة النشر: 2023
المجموعة: LCC:Medicine
LCC:Medicine (General)
مصطلحات موضوعية: surgical transverse abdominal plane block, open nephrectomy, fentanyl infusion, pain relief, sedation score, Medicine, Medicine (General), R5-920
الوصف: Background: Role of continuous infusion of local anesthetic drug in the transverse abdominal plane using a catheter inserted during the surgical closure of the wound has not been evaluated as a “sole technique” in patients undergoing open nephrectomy. Thus we designed this prospective, randomized comparative study to evaluate this aspect. Aim and Objectives: To compare the efficacy of continuous surgical transverse abdominal plane block with intravenous fentanyl infusion in open nephrectomies. The primary outcomes were post-operative tramadol consumption, pain at rest and pain while coughing. The secondary outcomes were the level of sedation, time to mobilize, and the incidence of wound infection. Material and Methods: Fifty patients undergoing elective open nephrectomy were randomly divided into two equal groups to either receive intravenous fentanyl infusion (Group A), or continuous infusion of bupivacaine in the transversus abdominis plane through a surgically inserted catheter (Group B). The independent sample t-test was applied for numerical variables, while one way Analysis of Variance (ANOVA) repeated measure was used for analyzing the continuous variables. Chi-square and Fisher's exact tests were the tools used for analyzing the dichotomical variables. Results: Tramadol consumption, pain while resting, and pain during coughing were significantly lower in Group B (p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2231-4261
Relation: https://www.jkimsu.com/jkimsu-vol12no2/JKIMSU,%20Vol.%2012,%20No.%202,%20April-June%202023%20Page%2048-56.pdf; https://doaj.org/toc/2231-4261
URL الوصول: https://doaj.org/article/200ba13d869d4e289610ad73f4ae57da
رقم الانضمام: edsdoj.200ba13d869d4e289610ad73f4ae57da
قاعدة البيانات: Directory of Open Access Journals