Comparative Effectiveness of Two Ultrasound-Guided Regional Block Techniques for Surgical Anesthesia in Open Unilateral Inguinal Hernia Repair

被引:2
作者
Steffel, Lauren [1 ]
Kim, T. Edward [1 ,3 ]
Howard, Steven K. [1 ,3 ]
Ly, Daphne P. [2 ,4 ]
Kou, Alex [1 ]
King, Robert [3 ]
Mariano, Edward R. [1 ,3 ]
机构
[1] Stanford Univ, Sch Med, Dept Anesthesiol Perioperat & Pain Med, Stanford, CA 94305 USA
[2] Stanford Univ, Sch Med, Div Gen Surg, Stanford, CA 94305 USA
[3] VA Palo Alto Hlth Care Syst, Anesthesiol & Perioperat Care Serv, Palo Alto, CA 94304 USA
[4] VA Palo Alto Hlth Care Syst, Surg Serv, Palo Alto, CA 94304 USA
关键词
ilioinguinal nerve block; inguinal hernia repair; monitored anesthesia care; outpatient surgery; point-of-care ultrasound; transversus abdominis plane block; ultrasound-guided regional anesthesia; TRANSVERSUS ABDOMINIS PLANE; ILIOHYPOGASTRIC NERVE BLOCK; POSTHERNIORRHAPHY PAIN; LOCAL-ANESTHETICS; HERNIORRHAPHY; RECOVERY; BUPIVACAINE; ANALGESIA; TOXICITY;
D O I
10.7863/ultra.15.02057
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
Transversus abdominis plane (TAP) and ilioinguinal/iliohypogastric (II/IH) nerve blocks have been described as analgesic adjuncts for inguinal hernia repair, but the efficacy of these techniques in providing intraoperative anesthesia, either individually or together, is not known. We designed this retrospective cohort study to test the hypothesis that combining TAP and II/IH nerve blocks ("double TAP" technique) results in greater accordance between the preoperative anesthetic plan and actual anesthetic technique provided when compared to TAP alone. Based on this study, double TAP may be preferred for patients undergoing open inguinal hernia repair who wish to avoid general anesthesia.
引用
收藏
页码:177 / 182
页数:6
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