Abstract
Abstract Objective: The aim of the study is the assessment of the analgesic efficacy of transversus abdominis plane block in patients undergoing general abdominal surgery. Methods: Pubmed, Scopus, and Medline databases were searched for papers evaluating the effect of transversus abdominis plane block. The primary and secondary outcomes of the studies were analyzed. Results: A total of 10 studies were analyzed, including 717 patients. Studies revealed that transversus abdominis plane block was associated with significantly reduced postoperative discomfort and reduced opioid consumption. Conclusion: The present study shows the clear benefit brought by the transversus abdominis plane block as part of multimodal analgesia, with a significant reduction of pain and higher comfort scores.
Highlights
Pain after surgery is a crucial variable in the recovery process of surgical patients, with a significant impact on the transition from acute to chronic pain [1, 2]
Conventional postoperative analgesia proposes the use of opioids, efficient drugs that come with a series of adverse reactions such as nausea and vomiting, pruritus, sedation, constipation, and respiratory distress [3]
The latest guidelines of the American Society of Anesthesiologists recommend the use of multimodal analgesia whenever possible
Summary
Pain after surgery is a crucial variable in the recovery process of surgical patients, with a significant impact on the transition from acute to chronic pain [1, 2]. Optimal analgesia aims to enhance patient comfort while minimizing the risk of complications, which may jeopardize the recovery process [6]. The latest guidelines of the American Society of Anesthesiologists recommend the use of multimodal analgesia whenever possible. This involves the administration of two or more active substances, which act through different mechanisms to ensure efficient analgesia. They can be administered on the same route or by various means. Systemic administration of Acetaminophen, non-steroidal anti-inflammatory drugs like coxibs, are recommended in association with a regional analgesic technique for optimal pain management [7]
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