Continuous TAP blocks for major gynaecological surgery

  • Research type

    Research Study

  • Full title

    A double blind, randomized, controlled study to assess the efficacy of continuous transversus abdominis plane (TAP) blocks for analgesia and enhanced recovery following major gynaecological surgery.

  • IRAS ID

    105147

  • Contact name

    Geoffrey Lockwood

  • Contact email

    g.lockwood@imperial.ac.uk

  • Sponsor organisation

    Imperial College Healthcare NHS Trust

  • Duration of Study in the UK

    2 years, 0 months, 0 days

  • Research summary

    Operations on the abdomen are painful. Morphine and similar pain killers have side effects that can slow recovery but local anaesthetics probably do not. Epidural injections relieve pain very effectively but complications can cause severe headaches in 1% of patients and side effects include difficulty passing urine and temporarily weakened leg muscles. They also demand a level of post-operative attention that many wards cannot offer. TAP blocks numb the abdominal wall and it is well documented that they provide analgesia for a few hours. The efficacy of continuous infusions into TAP blocks are not well established. A recent audit of our practice suggests they are useful but a randomized trial is needed to confirm that.

  • REC name

    London - Dulwich Research Ethics Committee

  • REC reference

    16/LO/1250

  • Date of REC Opinion

    5 Aug 2016

  • REC opinion

    Further Information Favourable Opinion