Comparative effectiveness of TAP block, EOIP block, and standard care for postoperative analgesia in renal transplantation: a retrospective study

IF 2.2 4区医学 Q2 ANESTHESIOLOGY

Brazilian Journal of Anesthesiology Pub Date : 2026-01-01 Epub Date: 2025-10-24 DOI:10.1016/j.bjane.2025.844692

Karam Azem , Roussana Aranbitski , Safo Awad , Omer Shpack , Alexander Peres , Rotem Argov , Omer Kaplan , Anatoliy Artyukh , Andrey Khinchuk , Michael Yohay Stav , Philip Heesen , Sharon Orbach-Zinger , Eviatar Nesher , Shai Fein

{"title":"Comparative effectiveness of TAP block, EOIP block, and standard care for postoperative analgesia in renal transplantation: a retrospective study","authors":"Karam Azem , Roussana Aranbitski , Safo Awad , Omer Shpack , Alexander Peres , Rotem Argov , Omer Kaplan , Anatoliy Artyukh , Andrey Khinchuk , Michael Yohay Stav , Philip Heesen , Sharon Orbach-Zinger , Eviatar Nesher , Shai Fein","doi":"10.1016/j.bjane.2025.844692","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Effective pain management following renal transplantation is crucial. While various regional analgesic techniques have been studied, the optimal approach remains unclear. We compared the additive value of Transversus Abdominis Plane (TAP) and External Oblique Intercostal Plane (EOIP) blocks to Standard Care (SC) on postoperative pain and opioid consumption.</div></div><div><h3>Methods</h3><div>This retrospective study included 237 renal transplant recipients (127 SC, 75 TAP, 35 EOIP) between January 2023 and December 2024. Multivariable regression analysis assessed the association of block type on postoperative pain and opioid consumption.</div></div><div><h3>Results</h3><div>TAP block was associated with significantly lower pain scores than SC during the first eight postoperative hours (5.0 vs. 7.0, <em>p</em> < 0.001). Pre-incision TAP block demonstrated the most significant reduction in both pain scores (β = -2.21, 95% CI -3.38 to -1.05, <em>p</em> < 0.001) and opioid consumption (β = -13.56, 95% CI: -21.59 to -5.52, <em>p</em> = 0.001). EOIP block showed no significant advantages over SC and was associated with higher opioid consumption compared to TAP block.</div></div><div><h3>Conclusion</h3><div>Pain predominantly manifested in the first eight postoperative hours. TAP block, particularly when administered pre-incision, was associated with superior pain control compared to SC or EOIP block. Living donor recipients experienced significantly higher pain scores regardless of technique, warranting further investigation.</div></div>","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":"76 1","pages":"Article 844692"},"PeriodicalIF":2.2000,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brazilian Journal of Anesthesiology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0104001425001071","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/24 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Effective pain management following renal transplantation is crucial. While various regional analgesic techniques have been studied, the optimal approach remains unclear. We compared the additive value of Transversus Abdominis Plane (TAP) and External Oblique Intercostal Plane (EOIP) blocks to Standard Care (SC) on postoperative pain and opioid consumption.

Methods

This retrospective study included 237 renal transplant recipients (127 SC, 75 TAP, 35 EOIP) between January 2023 and December 2024. Multivariable regression analysis assessed the association of block type on postoperative pain and opioid consumption.

Results

TAP block was associated with significantly lower pain scores than SC during the first eight postoperative hours (5.0 vs. 7.0, p < 0.001). Pre-incision TAP block demonstrated the most significant reduction in both pain scores (β = -2.21, 95% CI -3.38 to -1.05, p < 0.001) and opioid consumption (β = -13.56, 95% CI: -21.59 to -5.52, p = 0.001). EOIP block showed no significant advantages over SC and was associated with higher opioid consumption compared to TAP block.

Conclusion

Pain predominantly manifested in the first eight postoperative hours. TAP block, particularly when administered pre-incision, was associated with superior pain control compared to SC or EOIP block. Living donor recipients experienced significantly higher pain scores regardless of technique, warranting further investigation.

查看原文本刊更多论文

TAP阻滞、EOIP阻滞和标准护理对肾移植术后镇痛的比较效果：一项回顾性研究

肾移植后有效的疼痛管理是至关重要的。虽然研究了各种局部镇痛技术，但最佳方法仍不清楚。我们比较了经腹平面（TAP）和外斜肋间平面（EOIP）阻滞与标准护理（SC）对术后疼痛和阿片类药物消耗的附加价值。方法回顾性研究了2023年1月至2024年12月237例肾移植受者（SC 127例，TAP 75例，EOIP 35例）。多变量回归分析评估阻滞类型与术后疼痛和阿片类药物消耗的关系。结果术后前8小时，stap阻滞的疼痛评分明显低于SC （5.0 vs. 7.0, p < 0.001）。切开前TAP阻滞在疼痛评分（β = -2.21, 95% CI: -3.38至-1.05,p < 0.001）和阿片类药物消耗（β = -13.56, 95% CI: -21.59至-5.52,p = 0.001）方面均表现出最显著的降低。与SC相比，EOIP阻断没有明显的优势，与TAP阻断相比，它与更高的阿片类药物消耗有关。结论疼痛主要表现在术后前8小时。与SC或EOIP阻滞相比，TAP阻滞，特别是在切口前给药时，与更好的疼痛控制相关。无论采用何种技术，活体供体接受者的疼痛评分明显更高，值得进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊