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Anterior Transversus Abdominis Plane Block for Lower Extremity Revascularization
Carmelina Gurrieri1, Ghaith Almhanni2, Indrani Sen2
1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic Health System, Eau Claire, Wisconsin.
The Journal of Surgical Research
|December 11, 2024
Summary
An anterior transversus abdominis plane (TAP) block with local anesthesia reduced opioid use and hospital stay in lower extremity revascularization patients. This regional anesthesia technique offers a safe and effective option for postoperative pain management.
Area of Science:
- Anesthesiology
- Vascular Surgery
- Pain Management
Background:
- Regional anesthesia is underutilized in vascular surgery.
- Perioperative opioid use is a concern in lower extremity revascularization.
- This study compares opioid consumption with and without regional anesthesia.
Purpose of the Study:
- To compare perioperative opioid usage in patients undergoing lower extremity revascularization.
- To evaluate the effectiveness of anterior transversus abdominis plane (TAP) block combined with local anesthesia.
- To assess the impact of regional anesthesia on hospital stay and opioid requirements.
Main Methods:
- Retrospective review of 107 patients undergoing lower extremity revascularization (2017-2022).
- Two groups: Regional block (anterior TAP block + local anesthesia) and No regional block.
- Comparison of procedural metrics, complications, hospital stay, and opioid use.
Main Results:
- No significant difference in procedural metrics or intraprocedural complications.
- Shorter in-hospital stay in the Regional block group (1 vs. 3 days, P < 0.001).
- Significantly lower intraoperative and postoperative opioid use in the Regional block group at 24h, 48h, and 72h (P < 0.001, P = 0.027, P = 0.010 respectively).
Conclusions:
- Anterior TAP block with local anesthesia is a safe postoperative analgesia option.
- This regional anesthesia approach can reduce intraoperative and postoperative opioid requirements.
- Regional anesthesia should be considered for patients undergoing lower extremity revascularization surgery.
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