Evidence map›Paper›PMID 24600508›Full record

ArticleWorld journal of gastrointestinal surgery2014

Transversus abdominis plane infiltration for laparoscopic gastric banding: A pilot study.

Gildasio S De Oliveira, Paul Fitzgerald, Shireen Ahmad, John Kim, Rohit Rahangdale, Robert McCarthy

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of gastrointestinal surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Gildasio S De OliveiraGildasio S De Oliveira Jr, Paul Fitzgerald, Shireen Ahmad, Rohit Rahangdale, Robert McCarthy, Department of Anesthesiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States.
Paul FitzgeraldGildasio S De Oliveira Jr, Paul Fitzgerald, Shireen Ahmad, Rohit Rahangdale, Robert McCarthy, Department of Anesthesiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States.
Shireen AhmadGildasio S De Oliveira Jr, Paul Fitzgerald, Shireen Ahmad, Rohit Rahangdale, Robert McCarthy, Department of Anesthesiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States.
John KimGildasio S De Oliveira Jr, Paul Fitzgerald, Shireen Ahmad, Rohit Rahangdale, Robert McCarthy, Department of Anesthesiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States.
Rohit RahangdaleGildasio S De Oliveira Jr, Paul Fitzgerald, Shireen Ahmad, Rohit Rahangdale, Robert McCarthy, Department of Anesthesiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States.
Robert McCarthyGildasio S De Oliveira Jr, Paul Fitzgerald, Shireen Ahmad, Rohit Rahangdale, Robert McCarthy, Department of Anesthesiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States.
Northwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo estimate an effect size for the transversus abdominis plane (TAP) infiltration on quality of recovery in patients undergoing laparoscopic gastric band surgery.

methodsThe pilot study was a randomized, double blinded, placebo controlled trial. Patients undergoing laparoscopic gastric band surgery were randomized to receive a bilateral TAP infiltration with 20 mL of 0.5% ropivacaine or saline. The evaluated outcomes included quality of recovery-40 (QoR-40) at 24 h, postoperative opioid consumption and pain. Data was examined using the Mann-Whitney U test.

resultsNineteen subjects were recruited. There was a positive trend favoring the TAP infiltration group in global QoR-40 scores at 24 h after surgery, median [interquartile range (IQR)] of 175.5 (170-189) compared to 170 (160-175) in the control group (P = 0.06). There also a positive trend toward a lower cumulative opioid consumption in the TAP infiltration group, median (IQR) of 7.5 (2.5-11.5) mg iv morphine equivalents compared to 13 (7-21.5) in the control group (P = 0.07). Correlation analysis (Spearman's Rho) demonstrated an inverse relationship between 24 h cumulative opioid consumption and global QoR-40 scores, -0.49 (P = 0.03).

conclusionThe use of multimodal analgesic techniques to reduce opioid related side effects is particularly desirable in morbidly obese patients undergoing gastric reduction surgery. The TAP infiltration seems to have a clinically important effect in reducing postoperative opioid consumption and improve quality of recovery after laparoscopic gastric band surgery in morbid obese patients. Future studies to confirm the beneficial effects of the TAP infiltration in these patients are warranted.

Indexed as

Gastric bandInfiltrationPainRecoveryTransversus abdominis plane

Identifiers

PMID24600508
PMCPMC3942536
OpenAlexW2297019713

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.