Abdominoplasty Patients
Conditions
Brief summary
This study was conducted to demonstrate post-abdominoplasty analgesic duration consequent to three different surgically infiltrated LA techniques; bilateral TAPB, bilateral RSB and subcutaneous infiltration using the same volume of 0.25% bupivacaine (40 ml). Pain score, total analgesic rescue requests and the total amount of systemic rescue analgesia used in the first postoperative day in addition to any detected postoperative complications were also recorded.
Interventions
DRUGTransevrsus abdominus plane block
a blunt needle was advanced in the midaxillary line to reach the fascial layer between the internal oblique and transverse abdominis muscles detected by facial click sensation. The LA was slowly injected so as to detect any sign of toxicity or incorrect needle tip position (as resistance) requiring needle repositioning then TAPB was repeated on the opposite side.
DRUGRectus sheath block
In RSB group, 2-3 cm from midline, about 3-5 cm above the umbilicus, the needle was advanced at right angle to the skin. The needle reaches the space between the posterior layer of the rectus sheath and rectus abdominis muscle detected by firm resistance of the posterior wall, The LA was slowly injected then the same steps were repeated on the other side.
DRUGlocal anesthesia infiltartion
40 mls of 0.255 bupivacaine will be infiltrated at skin incision
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* all patients listed for abdominoplasty
Exclusion criteria
* allergy to bupivacaine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| morphine consumption (mg) | up to 24 hours | postoperative morphine consumption in milligrams in the 1st 24 hours postoperatively |
Countries
Egypt
Outcome results
None listed