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The analgesic effect of double injection technique intruncal block on the laparotomy of long duration

Research Project

Project/Area Number 23791701
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Anesthesiology/Resuscitation studies
Research InstitutionNagoya University

Principal Investigator

SHIBTA Yasuyuki  名古屋大学, 医学部附属病院, 講師 (70351103)

Project Period (FY) 2011 – 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2012: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2011: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Keywords末梢神経ブロック / 腹横筋膜面ブロック / 腹直筋鞘ブロック / 開腹術
Research Abstract

We compared the analgesic effect of the transversus abdominis plane (TAP) block with that of continuous epidural block in patients undergoing gynecological laparotomy of long duration. The visual analogue scales (VAS) at rest and at cough during the postoperative 72 hours were not statistically different between TAP block and continuous epidural block. The total consumption of morphine was not statistically different. Then, we compared the analgesic effect of pre-incisional TAP block combined postoperative rectus sheath block (double injection technique) with that of pre-incisional TAP block in patients undergoing pynecological laparotomy of long duration. We also measured the blood concentration of ropivacaine. The VAS at rest and cough during the postoperative 72 hours were not different between the two injection techniques. The total morphine consumption was not different. The blood concentrations of ropivacaine were kept below the level causing local anesthetic toxicity.

Report

(3 results)
  • 2012 Annual Research Report   Final Research Report ( PDF )
  • 2011 Research-status Report
  • Research Products

    (33 results)

All 2013 2012 2011

All Journal Article (13 results) (of which Peer Reviewed: 10 results) Presentation (13 results) (of which Invited: 1 results) Book (7 results)

  • [Journal Article] 超音波ガイド下末梢神経ブロックの危機管理:平行法における針先の描出を理解する2013

    • Author(s)
      柴田康之
    • Journal Title

      Anesthesia

      Volume: Vol.15、No.1-45 Pages: 72-75

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] 超音波ガイド下末梢神経ブロックの危機管理:平行法における針先の描出を理解する2013

    • Author(s)
      柴田康之
    • Journal Title

      Anesthesia

      Volume: 15 Pages: 72-75

    • Related Report
      2012 Annual Research Report
  • [Journal Article] 神経ブロックの最新ポイント 62012

    • Author(s)
      柴田康之
    • Journal Title

      OPE NURSING

      Volume: Vol.27、No.1 Pages: 44-56

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] 術後痛に対する末梢神経ブロック up to date2012

    • Author(s)
      柴田康之
    • Journal Title

      臨床麻酔

      Volume: Vol.36、No.6 Pages: 879-886

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] 超音波ガイド下中心静脈穿刺:平行法による腋窩静脈穿刺2012

    • Author(s)
      柴田康之
    • Journal Title

      Anesthesia Network

      Volume: Vo.16、No.2 Pages: 36-39

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] 局所麻酔薬の神経内注入と神経障害:局所解剖学と超音波解剖学を理解し、注入部位による違いを把握しよう2012

    • Author(s)
      金 亨泰、柴田康之
    • Journal Title

      LiSA

      Volume: Vol.19、No.7 Pages: 670-677

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] これからの末梢神経ブロック2012

    • Author(s)
      柴田康之
    • Journal Title

      LiSA

      Volume: Vol.19、No.7 Pages: 669-669

    • Related Report
      2012 Annual Research Report 2012 Final Research Report
  • [Journal Article] 神経ブロックの最新ポイント62012

    • Author(s)
      柴田康之
    • Journal Title

      OPE NURSING

      Volume: 27 Pages: 49-56

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 術後痛に対する末梢神経ブロックup to date2012

    • Author(s)
      柴田康之
    • Journal Title

      臨床麻酔

      Volume: 36 Pages: 879-886

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 超音波ガイド下中心静脈穿刺:平行法による腋窩静脈穿刺2012

    • Author(s)
      柴田康之
    • Journal Title

      Anesthesia Network

      Volume: 16 Pages: 36-39

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 局所麻酔薬の神経内注入と神経障害:局所解剖学と超音波解剖学を理解し、注入部位による違いを把握しよう2012

    • Author(s)
      金亨泰
    • Journal Title

      LiSA

      Volume: 19 Pages: 670-677

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Spinal cord stimualtion markedly ameliorated refractory neuropathy in transthyretin Val30Met familial amyloid polyneuropathy2011

    • Author(s)
      Miyazaki Y, Koike H, Akane A, Shibata Y, Nisiwaki K, Sobue G
    • Journal Title

      Amyloid

      Volume: 18 Pages: 87-90

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] 超音波ガイド下末梢神経ブロックとIV-PCAを併用する術後鎮痛:PONV対策にも有効2011

    • Author(s)
      赤根亜紀子 柴田康之
    • Journal Title

      LiSA

      Volume: 18 Pages: 788-793

    • Related Report
      2011 Research-status Report
  • [Presentation] 婦人科開腹術における術後鎮痛:硬膜外ブロックと超音波ガイド下腹横筋膜面ブロックの比較2012

    • Author(s)
      奧村朋子、柴田康之、赤根亜希子、西脇公俊
    • Organizer
      第32回日本臨床麻酔学会
    • Place of Presentation
      福島
    • Related Report
      2012 Final Research Report
  • [Presentation] 痛み別にみるペインクリニック超音波活用最前線(3)「帯状疱疹の痛みをどうするか?」2012

    • Author(s)
      柴田康之
    • Organizer
      第46回日本ペインクリニック学会総会
    • Place of Presentation
      島根
    • Related Report
      2012 Final Research Report
  • [Presentation] 帯状疱疹後神経痛後から難治性四肢痛を来たし、非全身性血管炎性ニューロパチーと診断された一例2012

    • Author(s)
      平井昴宏、矢野華代、柴田康之、西脇公俊
    • Organizer
      第46回日本ペインクリニック学会総会
    • Place of Presentation
      島根
    • Related Report
      2012 Final Research Report
  • [Presentation] 超音波ガイド下に挿入した胸部持続傍脊椎ブロックのカテーテルの位置2012

    • Author(s)
      長柄祐輝、柴田康之、西脇公俊
    • Organizer
      第59回日本麻酔科学会総会
    • Place of Presentation
      神戸
    • Related Report
      2012 Final Research Report
  • [Presentation] Intercostal and thoracolumbar paravertebral blocks2012

    • Author(s)
      Shibata Y
    • Organizer
      NYSORA aisa
    • Place of Presentation
      Ho Chi Minh city, Vietnam
    • Related Report
      2012 Final Research Report
  • [Presentation] Truncal blocks; TAP, ilioinguinal, genitofemoral and lateral cutaneous femoral nerve2012

    • Author(s)
      Shibata Y
    • Organizer
      NYSORA aisa
    • Place of Presentation
      Ho Chi Minh city, Vietnam
    • Related Report
      2012 Final Research Report
  • [Presentation] 超音波ガイド下に挿入した胸部持続傍脊椎ブロックのカテーテルの位置2012

    • Author(s)
      長柄祐輝、柴田康之、西脇公俊
    • Organizer
      第59回日本麻酔科学会総会
    • Place of Presentation
      神戸ポートピアホテル(神戸)
    • Related Report
      2012 Annual Research Report
  • [Presentation] 痛み別にみるペインクリニック超音波活用最前線(3)「帯状疱疹の痛みをどうするか?」2012

    • Author(s)
      柴田康之
    • Organizer
      第46回日本ペインクリニック学会総会
    • Place of Presentation
      くにびきメッセ(島根)
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Presentation] 帯状疱疹後神経痛後から難治性四肢痛を来たし、非全身性血管炎性ニューロパチーと診断された一例2012

    • Author(s)
      平井昴宏、矢野華代、柴田康之、西脇公俊
    • Organizer
      第46回日本ペインクリニック学会総会
    • Place of Presentation
      くにびきメッセ(島根)
    • Related Report
      2012 Annual Research Report
  • [Presentation] 婦人科開腹術における術後鎮痛:硬膜外ブロックと超音波ガイド下腹横筋膜面ブロックの比較2012

    • Author(s)
      奧村朋子、柴田康之、赤根亜希子、西脇公俊
    • Organizer
      第32回日本臨床麻酔学会
    • Place of Presentation
      ビッグパレットふくしま(福島)
    • Related Report
      2012 Annual Research Report
  • [Presentation] Ultrasound Guidance in Chronic Pain Procedure2011

    • Author(s)
      Shibata Y
    • Organizer
      2nd International Comprehensive Pain Management Conference(招待講演)
    • Place of Presentation
      Abu Dhabi
    • Related Report
      2011 Research-status Report
  • [Presentation] Thoracic Paravertebral Block and Stellate Ganglion Block2011

    • Author(s)
      Shbiata Y
    • Organizer
      2nd International Comprehensive Pain Management Conference(招待講演)
    • Place of Presentation
      Abu Dhabi
    • Related Report
      2011 Research-status Report
  • [Presentation] 呼吸器外科手術における持続硬膜外ブロックと持続傍脊椎ブロックの血漿ロピバカイン濃度の比較2011

    • Author(s)
      柴田康之 西脇公俊
    • Organizer
      第58回日本麻酔科学会学術総会
    • Place of Presentation
      神戸
    • Related Report
      2011 Research-status Report
  • [Book] 腸骨筋膜下ブロック、新超音波ガイド下区域麻酔法2012

    • Author(s)
      柴田康之
    • Publisher
      克誠堂出版
    • Related Report
      2012 Final Research Report
  • [Book] 腰神経叢ブロック(大腰筋筋溝ブロック)、新超音波ガイド下区域麻酔法2012

    • Author(s)
      柴田康之
    • Publisher
      克誠堂出版
    • Related Report
      2012 Final Research Report
  • [Book] 腹横筋膜面ブロック新超音波ガイド下区域麻酔法2012

    • Author(s)
      柴田康之
    • Publisher
      克誠堂出版
    • Related Report
      2012 Final Research Report
  • [Book] 胸部傍脊椎ブロックと解剖、新超音波ガイド下区域麻酔法2012

    • Author(s)
      柴田康之
    • Publisher
      克誠堂出版
    • Related Report
      2012 Final Research Report
  • [Book] 新超音波ガイド下区域麻酔法2012

    • Author(s)
      柴田康之
    • Total Pages
      26
    • Publisher
      克誠堂出版
    • Related Report
      2012 Annual Research Report
  • [Book] 克誠堂出版2011

    • Author(s)
      柴田康之
    • Publisher
      超音波ガイド下脊柱管・傍脊椎ブロック
    • Related Report
      2011 Research-status Report
  • [Book] 克誠堂出版2011

    • Author(s)
      柴田康之
    • Publisher
      PCA患者自己調節鎮痛法
    • Related Report
      2011 Research-status Report

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Published: 2011-08-05   Modified: 2019-07-29  

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