Anesthesiology and Pain Medicine

Published by: Kowsar

The Analgesic Efficiency of Ultrasound-Guided Rectus Sheath Analgesia Compared with Low Thoracic Epidural Analgesia After Elective Abdominal Surgery with a Midline Incision: A Prospective Randomized Controlled Trial

Hany Mahmoud Yassin 1 , * , Ahmed Tohamy Abd Elmoneim 2 and Hatem El Moutaz 3
Authors Information
1 Department of Anesthesia, Faculty of Medicine, Fayoum University, Fayoum, Egypt
2 Department of Anesthesia, Faculty of Medicine, Benha University, Benha, Egypt
3 Department of Anesthesia, Faculty of Medicine, Bani Sweif University, Egypt
Article information
  • Anesthesiology and Pain Medicine: June 2017, 7 (3); e14244
  • Published Online: June 10, 2017
  • Article Type: Research Article
  • Received: December 2, 2016
  • Revised: February 19, 2017
  • Accepted: March 12, 2017
  • DOI: 10.5812/aapm.14244

To Cite: Yassin H M, Abd Elmoneim A T, El Moutaz H. The Analgesic Efficiency of Ultrasound-Guided Rectus Sheath Analgesia Compared with Low Thoracic Epidural Analgesia After Elective Abdominal Surgery with a Midline Incision: A Prospective Randomized Controlled Trial, Anesth Pain Med. 2017 ; 7(3):e14244. doi: 10.5812/aapm.14244.

Abstract
Copyright © 2017, Anesthesiology and Pain Medicine. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
Acknowledgements
Footnotes
References
  • 1. Rozen WM, Tran TM, Ashton MW, Barrington MJ, Ivanusic JJ, Taylor GI. Refining the course of the thoracolumbar nerves: a new understanding of the innervation of the anterior abdominal wall. Clin Anat. 2008; 21(4): 325-33[DOI][PubMed]
  • 2. Wilkinson KM, Krige A, Brearley SG, Lane S, Scott M, Gordon AC, et al. Thoracic Epidural analgesia versus Rectus Sheath Catheters for open midline incisions in major abdominal surgery within an enhanced recovery programme (TERSC): study protocol for a randomised controlled trial. Trials. 2014; 15: 400[DOI][PubMed]
  • 3. Imani F. Postoperative pain management. 2011; 1
  • 4. Block BM, Liu SS, Rowlingson AJ, Cowan AR, Cowan JA, Wu CL. Efficacy of postoperative epidural analgesia: a meta-analysis. JAMA. 2003; 290(18): 2455-63[DOI][PubMed]
  • 5. Imani F, Faiz HR, Sedaghat M, Hajiashrafi M. Effects of adding ketamine to fentanyl plus acetaminophen on postoperative pain by patient controlled analgesia in abdominal surgery. Anesth Pain Med. 2014; 4(1): 12162[DOI][PubMed]
  • 6. Gharaei H, Imani F, Almasi F, Solimani M. The effect of ultrasound-guided tapb on pain management after total abdominal hysterectomy. Korean J Pain. 2013; 26(4): 374-8[DOI][PubMed]
  • 7. Karbasy SH, Derakhshan P. Effects of opium addiction on level of sensory block in spinal anesthesia with bupivacaine for lower abdomen and limb surgery: a case-control study. Anesth Pain Med. 2014; 4(5): 21571[DOI][PubMed]
  • 8. Clarke H, Chandy T, Srinivas C, Ladak S, Okubo N, Mitsakakis N, et al. Epidural analgesia provides better pain management after live liver donation: a retrospective study. Liver Transpl. 2011; 17(3): 315-23[DOI][PubMed]
  • 9. Horlocker TT, McGregor DG, Matsushige DK, Schroeder DR, Besse JA. A retrospective review of 4767 consecutive spinal anesthetics: central nervous system complications. Perioperative Outcomes Group. Anesth Analg. 1997; 84(3): 578-84[PubMed]
  • 10. Wheatley RG, Schug SA, Watson D. Safety and efficacy of postoperative epidural analgesia. Br J Anaesth. 2001; 87(1): 47-61[PubMed]
  • 11. Mogensen T, Hjortso NC, Bigler D, Lund C, Kehlet H. Unpredictability of regression of analgesia during the continuous postoperative extradural infusion of bupivacaine. Br J Anaesth. 1988; 60(5): 515-9[PubMed]
  • 12. Hermanides J, Hollmann MW, Stevens MF, Lirk P. Failed epidural: causes and management. Br J Anaesth. 2012; 109(2): 144-54[DOI][PubMed]
  • 13. Cuneyitoglu S, Turktan M, Biricik E, Ozcengiz D. Ultrasound-Guided Rectus Sheath Block in Gynaecological Surgery with Pfannenstiel Incision. Turk J Anaesthesiol Reanim. 2015; 43(5): 318-22[DOI][PubMed]
  • 14. Osaka Y, Kashiwagi M, Nagatsuka Y, Oosaku M, Hirose C. [Ultrasound-guided rectus sheath block for upper abdominal surgery]. Masui. 2010; 59(8): 1039-41[PubMed]
  • 15. Hamill JK, Liley A, Hill AG. Rectus sheath block for laparoscopic appendicectomy: a randomized clinical trial. ANZ J Surg. 2015; 85(12): 951-6[DOI][PubMed]
  • 16. Gurnaney HG, Maxwell LG, Kraemer FW, Goebel T, Nance ML, Ganesh A. Prospective randomized observer-blinded study comparing the analgesic efficacy of ultrasound-guided rectus sheath block and local anaesthetic infiltration for umbilical hernia repair. Br J Anaesth. 2011; 107(5): 790-5[DOI][PubMed]
  • 17. Kim JS, Choi JB, Lee SY, Kim WH, Baek NH, Kim J, et al. Pain related to robotic cholecystectomy with lower abdominal ports: effect of the bilateral ultrasound-guided split injection technique of rectus sheath block in female patients: A prospective randomised trial. Medicine (Baltimore). 2016; 95(31): 4445[DOI][PubMed]
  • 18. Dolan J, Lucie P, Geary T, Smith M, Kenny GN. The rectus sheath block: accuracy of local anesthetic placement by trainee anesthesiologists using loss of resistance or ultrasound guidance. Reg Anesth Pain Med. 2009; 34(3): 247-50[DOI][PubMed]
  • 19. Abrahams MS, Horn JL, Noles LM, Aziz MF. Evidence-based medicine: ultrasound guidance for truncal blocks. Reg Anesth Pain Med. 2010; 35(2 Suppl)-42[DOI][PubMed]
  • 20. Quek KH, Phua DS. Bilateral rectus sheath blocks as the single anaesthetic technique for an open infraumbilical hernia repair. Singapore Med J. 2014; 55(3): 39-41[PubMed]
  • 21. Abrahams M, Derby R, Horn JL. Update on Ultrasound for Truncal Blocks: A Review of the Evidence. Reg Anesth Pain Med. 2016; 41(2): 275-88[DOI][PubMed]
  • 22. Aldrete JA. Modifications to the postanesthesia score for use in ambulatory surgery. J Perianesth Nurs. 1998; 13(3): 148-55[PubMed]
  • 23. Ramsay MA, Savege TM, Simpson BR, Goodwin R. Controlled sedation with alphaxalone-alphadolone. Br Med J. 1974; 2(5920): 656-9[PubMed]
  • 24. Bashandy GM, Elkholy AH. Reducing postoperative opioid consumption by adding an ultrasound-guided rectus sheath block to multimodal analgesia for abdominal cancer surgery with midline incision. Anesth Pain Med. 2014; 4(3): 18263[DOI][PubMed]
  • 25. Kamei H, Ishibashi N, Nakayama G, Hamada N, Ogata Y, Akagi Y. Ultrasound-guided rectus sheath block for single-incision laparoscopic cholecystectomy. Asian J Endosc Surg. 2015; 8(2): 148-52[DOI][PubMed]
  • 26. Manassero A, Bossolasco M, Meineri M, Ugues S, Liarou C, Bertolaccini L. Spread patterns and effectiveness for surgery after ultrasound-guided rectus sheath block in adult day-case patients scheduled for umbilical hernia repair. J Anaesthesiol Clin Pharmacol. 2015; 31(3): 349-53[DOI][PubMed]
  • 27. Bakshi S, Mapari A, Paliwal R. Ultrasound-guided rectus sheath catheters: A feasible and effective, opioid-sparing, post-operative pain management technique: A case series. Indian J Anaesth. 2015; 59(2): 118-20[DOI][PubMed]
  • 28. Parsons B, Aning J, Daugherty MMJ. The use of rectus sheath catheters as an analgesic technique for patients undergoing radical cystectomy. Br J Med Surg Urol. 2011; 4: 24-30
  • 29. Godden AR, Marshall MJ, Grice AS, Daniels IR. Ultrasonography guided rectus sheath catheters versus epidural analgesia for open colorectal cancer surgery in a single centre. Ann R Coll Surg Engl. 2013; 95(8): 591-4[DOI][PubMed]
  • 30. Dernedde M, Stadler M, Bardiau F, Boogaerts JG. Continuous epidural infusion of large concentration/small volume versus small concentration/large volume of levobupivacaine for postoperative analgesia. Anesth Analg. 2003; 96(3): 796-801[PubMed]
  • 31. Dernedde M, Stadler M, Bardiau F, Boogaerts J. Comparison of different concentrations of levobupivacaine for post-operative epidural analgesia. Acta Anaesthesiol Scand. 2003; 47(7): 884-90[PubMed]
  • 32. Dernedde M, Stadler M, Bardiau F, Boogaerts JG. Comparison of 2 concentrations of levobupivacaine in postoperative patient-controlled epidural analgesia. J Clin Anesth. 2005; 17(7): 531-6[DOI][PubMed]
  • 33. Mendola C, Ferrante D, Oldani E, Cammarota G, Cecci G, Vaschetto R, et al. Thoracic epidural analgesia in post-thoracotomy patients: comparison of three different concentrations of levobupivacaine and sufentanil. Br J Anaesth. 2009; 102(3): 418-23[DOI][PubMed]
  • 34. Li H, Wang B, Wang F, Xu Z, Zhou N, Wang X, et al. Effects of epidural analgesia with different concentrations of bupivacaine plus fentanyl on pain in patients undergoing thoracic surgery. Int J Clin Exp Med. 2015; 8(8): 14123-6[PubMed]
  • 35. Dernedde M, Stadler M, Bardiau F, Seidel L, Boogaerts JG. Low vs. high concentration of levobupivacaine for post-operative epidural analgesia: influence of mode of delivery. Acta Anaesthesiol Scand. 2006; 50(5): 613-21[DOI][PubMed]
  • 36. Feldheiser A, Aziz O, Baldini G, Cox BP, Fearon KC, Feldman LS, et al. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice. Acta Anaesthesiol Scand. 2016; 60(3): 289-334[DOI][PubMed]
  • 37. Wu Y, Liu F, Tang H, Wang Q, Chen L, Wu H, et al. The analgesic efficacy of subcostal transversus abdominis plane block compared with thoracic epidural analgesia and intravenous opioid analgesia after radical gastrectomy. Anesth Analg. 2013; 117(2): 507-13[DOI][PubMed]
  • 38. Rawal N. Epidural technique for postoperative pain: gold standard no more? Reg Anesth Pain Med. 2012; 37(3): 310-7[DOI][PubMed]
  • 39. Crosbie EJ, Massiah NS, Achiampong JY, Dolling S, Slade RJ. The surgical rectus sheath block for post-operative analgesia: a modern approach to an established technique. Eur J Obstet Gynecol Reprod Biol. 2012; 160(2): 196-200[DOI][PubMed]
  • 40. Abdelsalam K, Mohamdin OW. Ultrasound-guided rectus sheath and transversus abdominis plane blocks for perioperative analgesia in upper abdominal surgery: A randomized controlled study. Saudi J Anaesth. 2016; 10(1): 25-8[DOI][PubMed]
  • 41. Christie IW, McCabe S. Major complications of epidural analgesia after surgery: results of a six-year survey. Anaesthesia. 2007; 62(4): 335-41[DOI][PubMed]
  • 42. Smith BE, MacPherson GH, de Jonge M, Griffiths JM. Rectus sheath and mesosalpinx block for laparoscopic sterilization. Anaesthesia. 1991; 46(10): 875-7[PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:

Author(s):

Article(s):

Create Citiation Alert
via Google Reader

Readers' Comments