Transversus abdominis plane block in urological procedures: A systematic review and meta-analysis.

European Journal of Anaesthesiology
Mohamed ZayedCarsten Bantel

Abstract

Transversus abdominis plane (TAP) blocks have been shown to successfully reduce pain and opioid consumption after general and gynaecological surgery. To evaluate whether TAP blocks alleviate pain and opioid consumption after urological procedures. A systematic review and meta-analysis. MEDLINE, Embase and CENTRAL. Without language restriction, randomised controlled trials (RCTs) that compared the effects of TAP blocks with placebo or no treatment in urological surgery. Primary outcomes were pain intensities at rest and movement at 6, 12 and 24 h after surgery. Secondary outcomes were postoperative opioid consumption in the first 24 h after surgery and postoperative nausea and vomiting. We performed meta-analyses using random effects models. Effect sizes were expressed as mean differences for continuous variables. We used the Cochrane risk of bias tool (RoB 2.0) to assess risk of bias. We analysed 20 RCTs comprising a total of 1239 patients. The risk of bias of the studies was relatively high. TAP blocks significantly reduced postoperative pain at all time points compared with placebo or no treatment. Mean differences on an 11-point pain intensity scale were between 0.55 (95% CI: -0.90, to -0.21; P = 0.002; I2 = 94%) to 1.13 (95...Continue Reading

References

Jan 30, 2008·Anesthesia and Analgesia·Peter Hebbard
Feb 22, 2008·European Journal of Anaesthesiology·Z JankovicM Kocarev
Jul 28, 2009·Journal of Clinical Epidemiology·David MoherUNKNOWN PRISMA Group
Apr 6, 2011·Acta Anaesthesiologica Scandinavica·J BørglumK Jensen
May 25, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Basem M MishrikyAshraf S Habib
Jul 6, 2012·Anesthesia and Analgesia·Noelle M FreirAnthony J Cunningham
Sep 11, 2013·Journal of the Korean Surgical Society·Sooyoung ChoSoon-Sup Chung
Dec 18, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Sussan Soltani MohammadiGita Shoeibi
Feb 13, 2015·Clinical Interventions in Aging·Milos BrodakPetr Husek
Oct 23, 2015·Annals of Transplantation : Quarterly of the Polish Transplantation Society·Meltem Guner CanUlkem Cakir
Dec 25, 2015·Journal of Anaesthesiology, Clinical Pharmacology·Beena Kandarp ParikhG Parikh
Jun 17, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Etrusca BrogiThomas M Hemmerling
Oct 9, 2016·International Journal of Obstetric Anesthesia·R ChampaneriaJ P Daniels
Aug 30, 2019·BMJ : British Medical Journal·Jonathan A C SterneJulian P T Higgins
Sep 11, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Marco CovottaEster Forastiere

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