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Papers of the Week

2021 May 06

BMC Anesthesiol



Comparison of transversus abdominis plane catheters with thoracic epidurals for cost and length of stay in open colorectal surgeries: a cohort study.


Miller D, Andriakos P, VanBacker J, Macbeth E, Galay I, Sidhu D, Cherukupalli D, Lee E, Valerian B, Chismark DA, Canete J, Afroze F
BMC Anesthesiol. 2021 May 06; 21(1):137.
PMID: 33957865.


Thoracic epidural analgesia has long been a common method of postoperative analgesia for major open abdominal surgeries and is frequently used within enhanced recovery after surgery programs. An alternative postoperative analgesia method is the single shot transversus abdominis plane block, which has shown promising outcomes with respect to total length of stay, cost, pain scores, and decreased opioid usage. However, far less is known regarding continuous transversus abdominis plane analgesia using catheters. We evaluated the total cost-effectiveness of transversus abdominis plane catheter analgesia compared to thoracic epidural analgesia for patients undergoing open colorectal surgeries within the enhanced recovery after surgery program at our institution.