Using the posterior TAP block for postoperative analgesia for major liver surgery in pediatrics
https://doi.org/10.21292/2078-5658-2022-19-3-49-54
Abstract
Anesthesiological provision of pediatric liver surgery is associated with problems related to perioperative analgesia. Standard methods of anesthesia can have contraindications and complications.
The objective: To evaluate the safety and efficacy of the posterior TAP block for postoperative analgesia in pediatric liver surgery.
Subjects and Methods. A prospective, single, blind, placebo-controlled pilot study was conducted. The participants were children aged 2 to 7 who underwent liver resection. The patients were divided into groups. In Control Group, combined anesthesia was performed. In Study Group, it was combined with a bilateral posterior TAP block. Pain in the postoperative period was assessed by the FLACC scale.
Results. The intensity of pain in the postoperative period was higher in Control Group. More patients required tramadol administration in Control Group. There was no difference in the occurrence of the PONV syndrome. No complications associated with the block were noted.
Conclusion. The posterior TAP block has a clinically significant analgesic effect and can be used for perioperative pain relief during pediatric liver surgery. This method is relatively safe. Impaired hemostasis system is not an absolute contraindication to a TAP block.
About the Authors
E. K. Bespalov
Russian Surgery Research Center Named after B. V. Petrovsky
Russian Federation
Russian Federation
Evgeniy K. Bespalov, Anesthesiologist and Emergency Physician of Anesthesiology and Intensive Care Department no. I.
2, Abrikosovsky Lane, Moscow, 119991
A. Yu. Zaitsev
Russian Surgery Research Center Named after B. V. Petrovsky; Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Andrey Yu. Zaitsev, Doctor of Medical Sciences, Chief Researcher, Head of Anesthesiology and Intensive Care Department I.
2, Abrikosovsky Lane, Moscow, 119991
D. I. Novikov
Russian Surgery Research Center Named after B. V. Petrovsky
Russian Federation
Russian Federation
Denis I. Novikov, Anesthesiologist and Emergency Physician of Anesthesiology and Intensive Care Department no. I.
2, Abrikosovsky Lane, Moscow, 119991
K. V. Dubrovin
Russian Surgery Research Center Named after B. V. Petrovsky; Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Kirill V. Dubrovin, Candidate of Medical Sciences, Senior Researcher of Anesthesiology and Intensive Care Department no. I.
2, Abrikosovsky Lane, Moscow, 119991
A. V. Filin
Russian Surgery Research Center Named after B. V. Petrovsky
Russian Federation
Russian Federation
Andrey V. Filin, Doctor of Medical Sciences, Head of Liver Transplantation Department.
2, Abrikosovsky Lane, Moscow, 119991
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Review
For citations:
Bespalov E.K., Zaitsev A.Yu., Novikov D.I., Dubrovin K.V., Filin A.V. Using the posterior TAP block for postoperative analgesia for major liver surgery in pediatrics. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2022;19(3):49-54. (In Russ.) https://doi.org/10.21292/2078-5658-2022-19-3-49-54
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