This study aims to examine the effects of M-TAPA applied for postoperative analgesia inpatients who had major intraabdominal surgery on the postoperative pain score, the changein the postoperative total opioid requirement and the side effects.
The investigators seperated the patients into two groups as M-TAPA applied group and
control group.In group M-TAPA, M-TAPA block was performed bilaterally with 20 mL of 0.2%
bupivacaine under ultrasound guidance at the end of surgery. No block was performed in
the control group. The participants were administered morphine through patient controlled
analgesia (PCA) pump with a bolus dose of 1 mg, 15 min lockout interval. The
postoperative pain scores (the numeric rating scores (NRS)), total opiod consumption in
the first 48 h, and opioid related side effects were recorded.
Other: M-Tapa Block
M-TAPA block was performed bilaterally with 20 mL of 0.2% bupivacaine under ultrasound
guidance at the end of surgery
Inclusion Criteria:
- patient > 17 years old
- ASA score 1-3
- undergoing major intra-abdominal surgery
Exclusion Criteria:
- ASA IV patients
- patients with known neurological or psychiatric disorders
- patients with clinically significant cardiovascular, respiratory, hepatic, renal or
metabolic disease
- patients with long-term drug (opioid) or alcohol dependence
- patients with BMI>30
- patients with intellectual disability
- patients who developed massive bleeding and coagulopathy
Marmara University Pendik Research and Training Hospital
Istanbul, Turkey (Türkiye)
GAMZE ÇABAKLI, Study Chair
Marmara Univercity