DOI: https://doi.org/10.30978/SU20181103

Сучасний підхід до післяопераційного знеболювання в акушерстві та гінекології

E. V. Grizhіmal’skii, A. I. Garga

Анотація


Проблема післяопераційного болю актуальна в сучасній медицині, зокрема в акушерстві та гінекології. Найоптимальніший метод адекватного післяопераційного знеболювання — мультимодальна анальгезія. Висвітлено особливості мультимодальної анальгезії із застосуванням поперечного блоку живота в поєднанні з нестероїдними протизапальними засобами у пацієнток акушерського та гінекологічного профілю. Визначено переваги та недоліки цієї методики. Описано власний досвід її застосування.


Ключові слова


післяопераційне знеболювання; ТАР-блок; мультимодальна анальгезія

Повний текст:

PDF

Посилання


Abdallah FW, Laffey JG, Halpern SH, Brull R. Duration of analgesic effectiveness after the posterior and lateral transversus abdominis plane block techniques for transverse lower abdominal incisions: a meta-analysis. Br J Anaesth. 2013;111(5):721-735. doi: 10.1093/bja/aet214.

Abrahams M, Derby R, Horn J.-L. Update on ultrasound for truncal blocks: a review of the evidence. Regional Anesthesia and Pain Medicine. 2016;41(2):275-288. doi: 10.1097/aap.0000000000000372.

Ayad S, Babazade R, Elsharkawy H et al. Comparison of transversus abdominis plane infiltration with liposomal bupivacaine versus continuous epidural analgesia versus intravenous opioid analgesia. PLoS ONE. 2016;11(4). doi: 10.1371/journal.pone. 0153675.e0153675.

Barrington MJ, Ivanusic JJ, Rozen WM, Hebbard P. Spread of injectate after ultrasound-guided subcostal transversus abdominis plane block: A cadaveric study. Anaesthesia. 2009;64(7):745-750. doi: 10.1111/j.1365-2044.2009.05933.x.

Borglum J, Abdallah FW, McDonnell JG et al. TAP block terminology. Anaesthesia. 2014;69(9):1055-1056. doi: 10.1111/anae.12812.

Borglum J, Jensen K, Christensen AF et al. Distribution patterns, dermatomal anesthesia, and ro pivacaine serum concentrations after bilateral dual transversus abdominis plane block. Regional Anesthesia and Pain Medicine. 2012;37(3):294-301. doi: 10.1097/AAP.0b013e31824c20a9.

Borglum J, Maschmann C, Belhage B, Jensen K. Ultrasound-guided bilateral dual transversus abdominis plane block: A new four-point approach. Acta Anaesthesiologica Scandinavica. 2011;55(6):658-663. doi: 10.1111/j.1399-6576. 2011.02430.x.

Brogi E, Kazan R, Cyr S, Giunta F, Hemmerling TM. Transversus abdominal plane block for postoperative analgesia: a systematic review and meta-analysis of randomized-controlled trials. Can J Anesthesia. 2016;63 (10):1184-1196. doi: 10.1007/s12630-016-0679-x.

Carney J, Finnerty O, Rauf J et al. Studies on the spread of local anaesthetic solution in transversus abdominis plane blocks. Anaesthesia. 2011;66 (11):1023-1030. doi: 10.1111/ j.1365-2044.2011.06855.x.

Champaneria R, Shah L, Geoghegan J et al. Analgesic effectiveness of transversus abdominis plane blocks after hysterectomy: A meta-analysis. Eur J Obstetrics Gynecol Reproductive Biol. 2013;166(1):1-9. doi: 10.1016/j.ejogrb.2012.09.012.

Desmet M, Helsloot D, Vereecke E et al. Pneumoperitoneum does not influence spread of local anesthetics in midaxillary approach transversus abdominis plane block: A descriptive cadaver study. Regional Anesthesia and Pain Medicine. 2015;40(4):349-354. doi: 10.1097/AAP.0000000000000260.

Elkassabany N, Ahmed M, Malkowicz SB et al. Comparison between the analgesic efficacy of transversus abdominis plane (TAP) block and placebo in open retropubic radical prostatectomy: A prospective, randomized, double-blinded study. J Clin Anesthesia. 2013;25(6):459-465. doi: 10.1016/j.jclinane. 2013.04.009.

Farag E, Guirguis MN, Helou M et al. Continuous transversus abdominis plane block catheter analgesia for postoperative pain control in renal transplant. J Anesthesia. 2014;29(1):4-8. doi: 10.1007/s00540-014-1855-1.

Fayezizadeh M, Majumder A, Neupane R et al. Efficacy of transversus abdominis plane block with liposomal bupivacaine during open abdominal wall reconstruction. Am J Surg. 2016;212(3):399-405. doi: 10.1016/j.amjsurg.2015.12.026.

Fredrickson MJ, Paine C, Hamill J. Improved analgesia with the ilioinguinal block compared to the transversus abdominis plane block after pediatric inguinal surgery: a prospective randomized trial. Pediatric Anesthesia. 2010;20 (11):1022-1027. doi: 10.1111/j.1460-9592.2010.03432.x.

Gadsden J, Ayad S, Gonzales JJ et al. Evolution of transversus abdominis plane infiltration techniques for postsurgical analgesia following abdominal surgeries. Local and Regional Anesthesia. 2015;8:113-117. doi: 10.2147/LRA.S96253.

Gao T, Zhang J.-J., Xi F.-C. et al. Evaluation of transversus abdominis plane (TAP) block in hernia surgery. Clin J Pain. 2017;33(4):369-375. doi: 10.1097/AJP.0000000000000412.

Gerbershagen HJ, Aduckathil S, van Wijck AJ et al. Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures. Anesthesiology. 2013;118(4):934-944.

Gray’s Anatomy / Ed. by H. Gray. Istanbul, Turkey: eKitap Projesi, 2016:287-290.

Hadzic A, Abikhaled JA, Harmon WJ. Impact of volume expansion on the efficacy and pharmacokinetics of liposome bupivacaine. Local and Regional Anesthesia. 2015;8:105-111. doi: 10.2147/LRA.S88685.

Hanna MH, Elliott KM, Stuart-Taylor ME et al. Comparative study of analgesic efficacy and morphine sparing effect of intramuscular dexketoprofen trometamol with ketoprofen or placebo after major orthopaedic surgery. Br J Clin Pharmacol. 2003;55:126-133.

Hebbard P. Subcostal transversus abdominis plane block under ultrasound guidance. Anesthesia & Analgesia. 2008;106(2):674-675. doi: 10.1213/ane.0b013e318161a88f.

Hebbard P. TAP block nomenclature. Anaesthesia. 2015;70(1):112-113. doi: 10.1111/anae.12970.

Hebbard PD. Transversalis fascia plane block, a novel ultrasound-guided abdominal wall nerve block. Can J Anesthesia. 2009;56(8):618-620. doi: 10.1007/s12630-009-9110-1.

Hebbard PD, Barrington MJ, Vasey C. Ultrasound-guided continuous oblique subcostal transversus abdominis plane blockade: Description of anatomy and clinical technique. Regional Anesthesia and Pain Medicine. 2010;35(5):436-441. doi: 10.1097/AAP.0b013e3181e66702.

Hutchins J, Delaney D, Vogel RI et al. Ultrasound guided subcostal transversus abdominis plane (TAP) infiltration with liposomal bupivacaine for patients undergoing robotic assisted hysterectomy: A prospective randomized controlled study. Gynecologic Oncol. 2015;138(3):609-613. doi:10.1016/j.ygyno.2015.06.008.

Hutchins JL, Kesha R, Blanco F et al. Ultrasound-guided subcostal transversus abdominis plane blocks with liposomal bupivacaine vs. Non-liposomal bupivacaine for postoperative pain control after laparoscopic hand-assisted donor nephrectomy: A prospective randomised observer-blinded study. Anaesthesia. 2016;71(8):930-937. doi: 10.1111/anae.13502.

Jankovic ZB, Du Feu FM, McConnell P. An anatomical study of the transversus abdominis plane block: Location of the lumbar triangle of petit and adjacent nerves. Anesthesia & Analgesia. 2009;109(3):981-985. doi: 10.1213/ane.0b013e3181ae0989.

Lee TH.W., Barrington MJ, Tran TM.N. et al.Comparison of extent of sensory block following posterior and subcostal approaches to ultrasound-guided transversus abdominis plane block. Anaesthesia and Intensive Care. 2010;38(3):452-460.

Maeda A, Shibata SC, Kamibayashi T, Fujino Y. Continuous subcostal oblique transversus abdominis plane block provides more effective analgesia than single-shot block after gynaecological laparotomy. Eur J Anaesthesiol. 2015;32(7):514-515. doi: 10.1097/EJA.0000000000000167.

Maeda A, Shibata SC, Wada H et al. The efficacy of continuous subcostal transversus abdominis plane block for analgesia after living liver donation: a retrospective study. J Anesthesia. 2016;30(1):39-46. doi: 10.1007/s00540-015-2085-x.

Maier C, Nestler N, Richter H. The quality of postoperative pain management in German hospitals. Dtsch Arstebl Int. 2010;Bd. 107. S. 607-614.

McDonnell JG, O’Donnell BD, Farrell T et al. Transversus abdominis plane block: A cadaveric and radiological evaluation. Regional Anesthesia and Pain Medicine. 2007;32(5):399-404. doi: 10.1016/j.rapm.2007.03.011. doi: 10.1097/00115550-200709000-00007.

Milan Z, Tabor D, McConnell P et al. Three different approaches to Transversus abdominis planeblock: a cadaveric study. Medicinski Glasnik. 2011;8(2):181-184.

Mishriky BM, George RB, Habib AS. Transversus abdominis plane block for analgesia after Cesarean delivery: a systematic review and meta-analysis. Can J Anesthesia. 2012;59(8):766-778. doi: 10.1007/s12630-012-9729-1.

Moeschler SM, Murthy NS, Hoelzer BC et al. Ultrasound-guided transversus abdominis plane injection with computed tomography correlation: a cadaveric study. J Pain Res. 2013;6:493-496.

Netter FH. Atlas of Human Anatomy. 6th. ed. New York, USA: Elsevier, 2014. P. e62–e81.

Niraj G, Kelkar A, Fox AJ. Oblique sub-costal transversus abdominis plane (TAP) catheters: An alternative to epidural analgesia after upper abdominal surgery. Anaesthesia. 2009;64 (10):1137-1140. doi: 10.1111/j.1365-2044.2009.06006.x.

Niraj G, Kelkar A, Hart E et al. Comparison of analgesic efficacy of four-quadrant transversus abdominis plane (TAP) block and continuous posterior TAP analgesia with epidural analgesia in patients undergoing laparoscopic colorectal surgery: an open-label, randomised, non-inferiority trial. Anaesthesia. 2014;69(4):348-355. doi: 10.1111/anae.12546.

Niraj G, Kelkar A, Hart E et al. Four quadrant transversus abdominis plane block and continuous transversus abdominis plane analgesia: A 3-year prospective audit in 124 patients. J Clin Anesthesia. 2015;27(7):579-584. doi: 10.1016/j.jclinane. 2015.07.005.

Peng K, Ji F. -H., Liu H.-Y., Wu S.-R. Ultrasound-guided transversus abdominis plane block for analgesia in laparoscopic cholecystectomy: A systematic review and meta-analysis. Medical Principles and Practice. 2016;25(3):237-246. doi: 10.1159/000444688.

Polomano R, Dunwoody C, Krenzischer D. Perspective on pain management in the 21st century. Pain Management Nurs. 2008;9:3-10.

Rafi AN. Abdominal field block: a new approach via the lumbar triangle. Anaesthesia. 2001;56 (10):1024-1026.

Rozen WM, Tran TM. N., Ashton MW et al. Refining the course of the thoracolumbar nerves: A new understanding of the innervation of the anterior abdominal wall. Clin Anatomy. 2008;21(4):325-333. doi: 10.1002/ca.20621.

Sondekoppam RV, Brookes J, Morris L et al. Injectate spread following ultrasound-guided lateral to medial approach for dual transversus abdominis plane blocks. Acta Anaesthesiologica Scandinavica. 2015;59(3):369-376. doi: 10.1111/aas.12459.

Stav A, Reytman L, Stav M et al. Transversus abdominis plane versus ilioinguinal and iliohypogastric nerve blocks for analgesia following open inguinal herniorrhaphy. Rambam Maimonides Medical Journal. 2016;7(3). P. e0021. doi: 10.5041/RMMJ. 10248.

Stoving K, Rothe C, Rosenstock CV et al. Cutaneous sensory block area, muscle-relaxing effect, and block duration of the transversus abdominis plane block: a randomized, blinded, and placebo-controlled study in healthy volunteers. Regional Anesthesia and Pain Medicine. 2015;40(4):355-362. doi:10.1097/AAP.0000000000000252.

Takimoto K, Sakai N, Ono M. The effects of adding upper and lower subcostal transversus abdominis plane blocks to a lateral transversus abdominis plane block after laparoscopic cholecystectomy: A randomised, double-blind clinical trial. Eur J Anaesthesiol. 2015;32 (11):819-820. doi: 10.1097/EJA.0000000000000305.

Tran TM.N., Ivanusic JJ, Hebbard P, Barrington MJ. Determination of spread of injectate after ultrasound-guided transversus abdominis plane block: A cadaveric study. Br J Anaesth. 2009;102(1):123-127. doi: 10.1093/bja/aen344.

Ueshima H, Otake H, Lin J.-A. Ultrasound-guided quadratus lumborum block: an updated review of anatomy and techniques. BioMed Research International. 2017;2017:7. doi:10.1155/2017/2752876.2752876

Ventham NT, O’Neill S, Johns N et al. Evaluation of novel local anesthetic wound infiltration techniques for postoperative pain following colorectal resection surgery: A meta-analysis. Diseases of the Colon & Rectum. 2014;57(2):237-250. doi: 10.1097/DCR.0000000000000006.

Weintraud M, Marhofer P, Bösenberg A et al. Ilioinguinal/iliohypogastric blocks in children: where do we administer the local anesthetic without direct visualization?. Anesthesia & Analgesia. 2008;106(1):89-93. doi: 10.1213/01.ane.0000287679.48530.5f.

Yoshida T, Furutani K, Watanabe Y et al. Analgesic efficacy of bilateral continuous transversus abdominis plane blocks using an oblique subcostal approach in patients undergoing laparotomy for gynaecological cancer: a prospective, randomized, triple-blind, placebo-controlled study. Br J Anaesth. 2016;117(6):812-820. doi: 10.1093/bja/aew339.

Yoshiyama S, Ueshima H, Sakai R, Otake H. A posterior tap block provides more effective analgesia than a lateral tap block in patients undergoing laparoscopic gynecologic surgery: a retrospective study. Anesthesiology Research and Practice. 2016;2016:9. doi: 10.1155/2016/4598583.4598583

Zippel H, Wagenitz A. Comparison of the efficacy and safety of intravenously administered dexketoprofen trometamol and ketoprofen in the management of pain after orthopaedic surgery: A multicentre, double-blind, randomised, parallel-group clinical trial. Clin Drug Invest. 2006;26(9):517—528.




© Хірургія України, 2019
© ТОВ «ВІТ-А-ПОЛ», 2019