Abstract: TH-PO873

Transversus Abdominis Plane Block Relieves Perioperative Pain on Peritoneal Dialysis Catheter Insertion

Session Information

  • Peritoneal Dialysis - I
    November 02, 2017 | Location: Hall H, Morial Convention Center
    Abstract Time: 10:00 AM - 10:00 AM

Category: Dialysis

  • 608 Peritoneal Dialysis

Author

  • Harada, Kenji, Kokura memorial hospital, Kitakyusyu city, Fukuoka, Japan
Background

The effectiveness of Transversus Abdominis Plain (TAP) block has been reported in the pain control at abdominal operation. However, its usefulness in pain management remains unclear in peritoneal dialysis (PD) patients undergoing catheter insertion. We investigated the effectiveness and safety of TAP block for perioperative on PD catheter insertion.

Methods

The present study is a single-centred, prospective, randomised study of initiated PD patients between from April 2016 to March 2017. VAS (Visual Analogue Scale), which is often used around anesthesiology and pain management field, was measured as pain assessment. VAS was measured at two points, right after and 24 hours after operation, using t-test with P values.

Results

Overall, 66 PD patients were included (mean age; 67.2 year old, male/female; 42/24, average eGFR 7.63±2.81). Patients were divided into two groups TAP block (n=31) and non-TAP block(n=35). There were significant low VAS in TAP block group right after operation (1.06 vs 3.47, p<0.0001). Furthermore, even at 24 hours after operation VAS in TAP block was lower (1.55 vs 2.59, p=0.041). There were no cases needed for ventilation and anesthetic drug such as morphine. TAP block-related adverse events were not found.

Conclusion

TAP block technique was significantly associated with relief from post-operative pain in PD catheter insertion. This treatment procedure might be a minimally invasive and effective therapeutic option for perioperative pain management on PD catheter insertion.