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Postoperative analgesic efficacy of M-TAPA
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Postoperative analgesic efficacy of M-TAPA
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Postoperative analgesic efficacy of M-TAPA
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Journal Article
Postoperative analgesic efficacy of M-TAPA
2023
Overview
[...]we argue that only the between-group differences in static and dynamic pain NRS scores within the first 2 h postoperatively may be considered as clinically significant. [...]in this study, intravenous tramadol (1 mg/kg) was administered as rescue analgesia, if the NRS pain score was 4 or more and the proportion of patients needing rescue analgesia was significantly reduced in the M-TAPA group. [...]like most previous studies assessing the efficacy of abdominal fascial plane blocks for pain control after laparoscopic cholecystectomy [6, 7], this study did not report any outcome variables of Enhanced Recovery After Surgery protocols, such as the times of first feeding and first getting off to bed after surgery, time to restore bowel function, length of hospital stay, quality of recovery, and 90-day readmission [2]. Because of this design limitation, an important issue that this study cannot answer is whether improved postoperative pain control and patient satisfaction with the M-TAPA can be translated into real benefits associated with the current Enhanced Recovery After Surgery protocols in patients undergoing laparoscopic cholecystectomy.
Publisher
Springer Nature Singapore,Springer,Springer Nature B.V
