Bilateral Dual TAP Block: Description of a Novel Four-point Approach

Completed

• Conditions: Postoperative Pain
• Interventions: Procedure: Bilateral dual TAP block

• Registration Number: NCT01040234
• Lead Sponsor: Bispebjerg Hospital

Brief Summary

A prospective study of 30 patients with severe postoperative pain following abdominal surgery, in which the dual TAP block technique has been used successfully to achieve pain relief. A description of ultrasound technique, effectiveness, duration and potential side effects of the pain treatment, with possible recommendations for future use.

Detailed Description

This prospective cohort study is designed to describe a novel ultrasound-guided bilateral dual transversus abdominis plane (BD-TAP) block and to evaluate the postoperative analgesic efficacy in a selection of patients having undergone major abdominal surgery under general anaesthesia where neuraxial anaesthesia and/or intravenous administration of analgesics had failed or was unwanted by the patient, or if the placement of an epidural catheter was deemed impossible by the anaesthetist in charge. 30 consecutive patients planned for the study. BD-TAP to be performed bilaterally with a high frequency linear ultrasound probe, with bupivacaine. Success rate, decline in VAS score, postoperative demand of opioids and block performance time to be recorded.

Study Timeline

• Study Start: 2009-11
• Study First Submitted: 2009-12-17
• Study First Submitted QC: 2009-12-28
• Study First Posted: 2009-12-29
• Primary Completion: 2010-01
• Study Completion: 2010-01
• Status Verified: 2015-10
• Last Update Submitted: 2015-10-21
• Last Update Posted: 2015-10-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Patients with pain VAS >5 following abdominal surgery, in which conventional pain treatment or epidural block is either ineffective or contraindicated

Exclusion Criteria

• Hypersensitivity to local anaesthetics

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Active pain treatment	Bilateral dual TAP block	Bilateral dual TAP block

Primary Outcome Measures

Name	Time	Method
Pain VAS after the intervention compared to pre-intervention VAS	10-20 minutes after intervention

Secondary Outcome Measures

Name	Time	Method
Pain medication required following intervention	First 24 hours

Trial Locations

Locations (1)

Dept Z, Bispebjerg Hospital; 🇩🇰 Copenhagen, Copenhagen NV, Denmark