The Effect of Transversus Abdominis Plane Block in Kidney Transplantation: A Systematic Review and Meta-Analysis

作者全名："Zheng, Changjian; Yang, Hongmei; Yang, Lin; Luo, Jun; Xiong, Bo"

作者地址："[Zheng, Changjian; Yang, Lin; Luo, Jun; Xiong, Bo] Chongqing Med Univ, Bishan Hosp, Dept Urol, Chongqing, Peoples R China; [Yang, Hongmei] Chongqing Med Univ, Bishan Hosp, Dept Rehabil Med, Chongqing, Peoples R China"

通信作者："Zheng, CJ (通讯作者)，Chongqing Med Univ, Bishan Hosp, Dept Urol, Chongqing, Peoples R China."

来源：UROLOGIA INTERNATIONALIS

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001010893700011

JCR分区：Q3

影响因子：1.5

年份：2023

卷号：107

期号：6

开始页：608

结束页：616

文献类型：Review

关键词：Kidney transplantation; Transversus abdominal block; Meta-analysis

摘要："Introduction: The aim of the study was to evaluate the effect of transversus abdominal (TAP) block for postoperative analgesia after renal transplantation. Methods: We searched PubMed, Embase, the Cochrane Library, and the Chinese Biomedical Literature Database for relevant studies. The related trials that met the inclusion criteria were analysed using RevMan 5.4 software. Results: We found 15 randomized controlled trials and two retrospective studies that, on meta- analysis, showed that TAP block group had significantly lower requirement of opioid consumption (MD - 11.89, 95% CI - 17.13 similar to- 6.65) at 24 h for pain mitigation and pain intensity VAS at rest at 6h (MD -1.13, 95% CI -1.76 similar to-0.49), 12 h ( MD -0.83, 95% CI -1.30 similar to- 0.36) and 24 h ( MD -0.47, 95% CI -0.75 similar to-0.20). Also, postoperative nausea and vomiting were not statistically significant (RR 1.00, 95% CI 0.78 similar to 1.27). Conclusion: TAP block appears to significantly reduce renal transplantation pain and the amount of opioid use on the first postoperative day after renal transplantation. (c) 2023 S. Karger AG, Basel"

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