Evidence map›Paper›PMID 29277312›Full record

Trial reportBrazilian journal of anesthesiology (Elsevier)

[Subcostal transversus abdominis plane block can improve analgesia after laparoscopic cholecystectomy].

Vladimir Vrsajkov, Nedjica Mančić, Dunja Mihajlović, Suzana Tonković Milićević, Arsen Uvelin, Jelena Pantić Vrsajkov

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Pain management in abdominal surgery.Langenbeck's archives of surgery · 2018
    Review
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.

Vladimir VrsajkovClinical Centre of Vojvodina, Emergency Centre, Novi Sad, Serbia. Electronic address: vladimir.vrsajkov@gmail.rs.
Nedjica MančićClinical Centre of Vojvodina, Emergency Centre, Novi Sad, Serbia.
Dunja MihajlovićClinical Centre of Vojvodina, Emergency Centre, Novi Sad, Serbia.
Suzana Tonković MilićevićClinical Centre of Vojvodina, Emergency Centre, Novi Sad, Serbia.
Arsen UvelinClinical Centre of Vojvodina, Emergency Centre, Novi Sad, Serbia.
Jelena Pantić VrsajkovHealth Care Centre Novi Sad, Novi Sad, Serbia.
Klinički centar Vojvodine · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and goal of studyAfter laparoscopic cholecystectomy, patients have moderate pain in the early postoperative period. Some studies shown beneficial effects of subcostal transversus abdominis plane block on reducing this pain. Our goal was to investigate influence of subcostal transversus abdominis plane block on postoperative pain scores and opioid consumption. MATERIALS AND

methodsWe have randomized 76 patients undergoing laparoscopic cholecystectomy to receive either subcostal transversus abdominis plane block (n=38) or standard postoperative analgesia (n=38). First group received bilateral ultrasound guided subcostal transversus abdominis plane block with 20mL of 0.33% bupivacaine per side before operation and tramadol 1mg.kg RESULTS AND DISCUSSION: We obtained no difference between groups according age, weight, intraoperative fentanyl consumption and duration of surgery. Subcostal transversus abdominis plane block significantly reduced postoperative pain scores compared to standard analgesia in all periods after surgery. Tramadol consumption was significantly lower in the subcostal transversus abdominis plane (24.29±47.54g) than in the standard analgesia group (270.2±81.9g) (p=0.000).

conclusionOur results show that subcostal transversus abdominis plane block can provide superior postoperative analgesia and reduction in opioid requirements after laparoscopic cholecystectomy.

Indexed as

AnalgesiaCholecystectomy, LaparoscopicAbdominal MusclesAdolescentAdultAgedAnalgesics, OpioidFemaleHumansMaleMiddle AgedNerve BlockPain MeasurementPostoperative PainProspective StudiesYoung AdultAnalgesics, OpioidAnalgesiaAnestesia regionalBloqueio subcostalColecistectomia laparoscópicaLaparoscopic cholecystectomyRegional anesthesiaSubcostal block

Identifiers

PMID29277312
PMCPMC9391710
OpenAlexW2766394583

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.