Evidence map›Paper›PMID 42664388›Full record

ArticleTurkish journal of anaesthesiology and reanimation2026

Regional Anaesthesia Techniques in Liver and Kidney Transplantation: A Narrative Review in Donors and Recipients.

Alessandro De Cassai, Burhan Dost, Serkan Tulgar, Bahadır Çiftçi, Sandeep Diwan, Yavuz Gürkan

Abstract read
In one paragraph

Article in Turkish journal of anaesthesiology and reanimation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alessandro De CassaiUniversity of Padua, Department of Medicine (DIMED), Padua, Italy.ORCID 0000-0002-9773-1832
Burhan DostOndokuz Mayıs University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Samsun, Türkiye.ORCID 0000-0002-4562-1172
Serkan TulgarBahçeşehir University Faculty of Medicine, Göztepe Medicalpark Hospital, Department of Anaesthesiology and Reanimation, İstanbul, Türkiye.ORCID 0000-0003-1996-7505
Bahadır Çiftçiİstanbul Medipol University Faculty of Medicine, Department of Anatomy, İstanbul, Türkiye.ORCID 0000-0002-3245-6614
Sandeep DiwanSancheti Hospital, Clinic of Anaesthesiology, Maharashtra, India.ORCID 0000-0001-7950-070X
Yavuz GürkanKoç University Faculty of Medicine, Department of Anaesthesiology and Reanimation, İstanbul, Türkiye.ORCID 0000-0002-2307-6943

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advances in surgical techniques and perioperative care have driven increasing interest in regional anaesthesia as part of multimodal analgesia strategies. In liver and kidney transplantation, however, the adoption of regional techniques remains limited due to concerns regarding altered coagulation, cardiovascular instability, and graft perfusion. This narrative review aims to synthesize current evidence on the feasibility, safety, and clinical utility of neuraxial and fascial plane blocks in both transplant recipients and living donors. A narrative review of the literature was conducted, focusing on regional anaesthesia techniques used in transplantation. The review integrates anatomical considerations, sources of postoperative pain, patient-specific comorbidities, and clinical evidence related to neuraxial anaesthesia and ultrasound-guided fascial plane blocks, including erector spinae plane block, quadratus lumborum block, transversus abdominis plane block, modified thoracoabdominal nerve block, external oblique intercostal block, and emerging techniques. Neuraxial anaesthesia can provide effective analgesia in carefully selected transplant patients, particularly in living donors, but its use is constrained by dynamic coagulation abnormalities and hemodynamic instability, especially in recipients. Fascial plane blocks offer a favorable risk-benefit profile, providing effective somatic and, in some cases, visceral analgesia while preserving hemodynamic stability and minimizing bleeding risk. Evidence supports their opioid-sparing effects and feasibility across a range of transplant procedures. Regional anaesthesia represents a valuable component of multimodal analgesia in liver and kidney transplantation when tailored to surgical incision patterns, sources of pain, and patient-specific physiological considerations. Fascial plane blocks, in particular, appear well suited to transplant populations and may facilitate enhanced recovery while maintaining graft-protective priorities.

Indexed as

Fascial plane blockskidney transplantationliver transplantationpain managementregional anaesthesia

Identifiers

PMID42664388
PMCPMC13529075

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.