49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting

Surgeon-performed versus anesthesiologist-performed transversus abdominis plane blocks and post-operative opioid use after laparoscopic donor nephrectomy

Julia Collins, MD; Abigail Howard, MD; Dieter Adelmann, MD, PhD; Michael Bokoch, MD, PhD; Pedram Aleshi, MD

University of California, San Francisco Department of Anesthesia and Perioperative Care

Introduction

•Living-donor kidney transplant is a popular option to reduce waiting times for transplant

•Laparoscopic donor nephrectomy (LDN) can result in significant post-operative pain requiring opioids

•Transversus abdominis plane (TAP) blocks help to reduce post-operative pain and opioid consumption 1,2

•The TAP block is a fascial plane block targeting the intercostal, subcostal, iliohypogastric, and ilioinguinal nerves, providing analgesia to the lower abdominal wall from T10 to L1

•We hypothesize that anesthesiologist-performed, ultrasound-guided TAP blocks will result in lower 24-hr post-operative oral morphine equivalent (OME) requirements compared to surgeon-performed TAP blocks in patients undergoing LDN

49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting

SURGEON VERSUS ANESTHESIOLOGIST-PERFORMED TRANSVERSUS ABDOMINIS PLANE BLOCKS AND POST-OPERATIVE OPIOID USE AFTER DONOR NEPHRECTOMY

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