Journal of Clinical Trials
Open Access

Abstract

Use of Preoperative TAP-Block with Two Different Concentrations of Ropivacaine: A Comparison in the Perspective of an Opioid-Sparing Approach in Emergency Abdominal Surgery

Volino Ottavio Paolo*, Coletta Francesco, Rinaldi Pasquale, De Simone Anna, Cotena Simona, Sinagoga Angela, Schettino Francesca, Tomasello Antonio and Villani Romolo

Clinical studies have evaluated TAP block showing positive analgesic effects. In the literature there are not many reports on the use of TAP-Block in abdominal surgery in emergency - urgency setting. We evaluated 12 patients divided into two groups (A, B) who underwent pre-operative TAP-Blocks with two different mixtures of local anesthetic: group A was administered the mixture with Ropivacaine 0.375% and adjuvants, while group B the mixture with Ropivacaine 0.45%, Mepivacaine 0.5% and adjuvants was administered. In group B there was a lower need for opioid administration both intraoperatively and postoperatively. Furthermore, in most cases pain control upon awakening was superior in group B compared to group A.

Published Date: 2025-04-18; Received Date: 2025-03-18