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- W3021738310 abstract "INTRODUCTION AND OBJECTIVE: Achieving effective pain control is vital for early patient mobilization and eventually returning back to normal routine life following percutaneous nephrolithotomy (PCNL) surgeries. The use of an intraoperative local anesthetic or postoperative analgesic has been reported for pain control in PCNL. Transversus abdominis plane (TAP) block is a regional anaesthetic technique applied in other surgeries under ultrasound guidance. The aim of our study was to see the effectiveness of this block on postoperative pain in PCNL. METHODS: This prospective, randomized, double-blinded study was carried out since May 2018 till September 2019. The TAP block was administered to a total of 47 patients who had undergone elective PCNL under General anesthesia. While other group of the patients (Group 2, n=67) didn’t receive such block. Postoperatively the pain level was measured using the visual analog scale (VAS), and the opioids consumptions at the postoperative 1, 2, 6, 12, 18, 24, 48 and 72 hours. RESULTS: The postoperative VAS was found to be statistically significantly lower in the TAP block group (2.1) as compared to the group without TAP block (mean VAS score=3.2, p<0.05). The postoperative opioid analgesic use was found to be statistically significantly higher at the 3hours, 6 hours, 12 hours, and 24th hour in Group without TAP block (p<0.05). CONCLUSIONS: The TAP block was observed to be effective in pain control and reducing opioid use during the postoperative 48 hours follow-up after PCNL. It may help in avoiding the use of opioids keeping in view the opioid epidemic challenges nowadays. Source of Funding: None" @default.
- W3021738310 created "2020-05-13" @default.
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- W3021738310 date "2020-04-01" @default.
- W3021738310 modified "2023-09-24" @default.
- W3021738310 title "PD07-03 COMPARISON OF PAIN SCORES AND RECOVERY AFTER PERCUTANEOUS NEPHROLITHOTOMY IN PATIENTS WITH AND WITHOUT REGIONAL ANESTHESIA BLOCK. PROSPECTIVE RANDOMIZED CONTROLLED STUDY" @default.
- W3021738310 doi "https://doi.org/10.1097/ju.0000000000000834.03" @default.
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