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Table 2 Postoperative analgesics use based on when the plain TAP block was administered

From: Effect of preoperative versus postoperative use of transversus abdominis plane block with plain 0.25 % bupivacaine on postoperative opioid use: a retrospective study

Variables

Overall

(N = 262)

Preoperative TAP

(n = 240)

Postoperative TAP

(n = 22)

P-value

PCA use, no. (%)

213 (81.3)

200 (83.3)

13 (59.1)

0.012

PCA type

 

0.003

 Morphine

172 (65.6)

165 (68.8)

7 (31.8)

 

 Hydromorphone

31 (11.8)

26 (10.8)

5 (22.7)

 

 Morphine + hydromorphone

10 (3.8)

9 (3.8)

1 (4.5)

 

PCA amount, MME, mean (SD)

 Morphine

27.40 (57.37)

27.09 (51.87)

30.77 (101.32)

0.019

PCA duration, hours, mean (SD)

33.97 (64.30)

34.66 (66.22)

26.36 (37.48)

0.263

IV opioid use, no. (%)

54 (20.6)

46 (19.2)

8 (36.4)

0.102

IV opioid amount, mg, mean (SD)

1.80 (10.39)

1.38 (9.07)

6.42 (19.50)

0.051

Oral opioid amount, MME, mean (SD)

93.94 (153.61)

87.71 (117.82)

161.93 (360.53)

0.743

Discharge opioid, MME, mean (SD)

123.52 (123.01)

128.09 (126.78)

73.64 (48.03)

0.005

Prescription muscle relaxants on discharge, no. (%)

108 (41.4)

97 (40.6)

11 (50.0)

0.528

Opioid use on first postoperative follow-up, no. (%)

19 (7.3)

18 (7.5)

1 (4.5)

0.99

Opioid refill request at first postoperative follow up, no. (%)

3 (1.1)

2 (0.8)

1 (4.5)

0.605

  1. IV intravenous, PCA patient-controlled analgesia, SD standard deviation, TAP transversus abdominis plane, MME morphine milligram equivalent