A randomised controlled trial of ultrasound‐guided transversus abdominis plane block for renal transplantation |
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| Authors: | S. M. Gulyam Kuruba K. Mukhtar S. K. Singh |
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| Affiliation: | 1. Warrington and Halton Hospital NHS Foundation Trust, , Warrington, UK;2. St. Helens and Knowsley Teaching Hospitals NHS Trust, , Prescot, UK;3. Royal Liverpool and Broad Green University Hospitals NHS Trust, , Liverpool, UK |
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| Abstract: | We conducted this study to evaluate the efficacy of a transversus abdominis plane block in reducing morphine requirements in the first 24 h after renal transplant surgery. We performed transversus abdominis plane injections under ultrasound guidance in 54 patients with either 20 ml levobupivacaine 0.5% (n = 27) or 20 ml saline 0.9% (n = 27). All patients received regular paracetamol and patient‐controlled analgesia postoperatively. Three participants were not studied owing to protocol violations. In the remaining 51 patients, median (IQR [range]) morphine consumption in the first 24 h was similar in both the transversus abdominis plane group (19.4 (11.7?28.6 [0.5?49.8]) mg) and the control group (16.4 (12.0?31.0 [0.0?61.7]) mg), p = 0.94. We found that use of ultrasound‐guided transversus abdominis plane block for renal transplantation did not reduce 24‐h morphine requirements. |
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