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Posterior transversus abdominis plane block

Maria A Hernandez, Tricia Vecchione, Karen Boretsky
INTRODUCTION: Several techniques for the transversus abdominis plane (TAP) block have been described. The extent of sensory changes using an ultrasound-guided posterior TAP block (pTAP) remains unclear in pediatric patients. The primary aim of this study was to report the extent of sensory changes achieved with pTAP; specifically the highest thoracic dermatome anesthetized. Secondary outcomes were pain scores (PS), opioid consumption, and complications. METHODS: We retrospectively reviewed the medical records of patients less than 21 years of age undergoing abdominal surgery with a unilateral or bilateral pTAP(s) for postoperative analgesia...
January 18, 2017: Paediatric Anaesthesia
Anatoli Stav, Leonid Reytman, Michael-Yohay Stav, Anton Troitsa, Mark Kirshon, Ricardo Alfici, Mickey Dudkiewicz, Ahud Sternberg
OBJECTIVES: We hypothesized that preoperative (pre-op) ultrasound (US)-guided posterior transversus abdominis plane block (TAP) and US-guided ilioinguinal and iliohypogastric nerve block (ILI+IHG) will produce a comparable analgesia after Lichtenstein patch tension-free method of open inguinal hernia repair in adult men. The genital branch of the genitofemoral nerve will be blocked separately. METHODS: This is a prospective, randomized, controlled, and observer-blinded clinical study...
July 28, 2016: Rambam Maimonides Medical Journal
Sakatoshi Yoshiyama, Hironobu Ueshima, Ryomi Sakai, Hiroshi Otake
Background. There are a few papers that compared the lateral transversus abdominis plane (TAP) block with the posterior TAP block. Our study aimed to compare retrospectively the quality of analgesia after laparoscopic gynecologic surgery using the lateral TAP block with general anesthesia versus the posterior TAP block with general anesthesia. Method. Sixty-seven adult female patients were included in this retrospective study. Of these patients, thirty-four patients received the lateral TAP block with general anesthesia (lat...
2016: Anesthesiology Research and Practice
T Parras, R Blanco
INTRODUCTION: A double-blind randomised controlled trial was conducted to compare the analgesic effect of the transversus abdominis plane block posterior approach or the quadratus lumborum block I versus femoral block, both ultrasound-guided. MATERIAL AND METHODS: Prospective study with parallel groups with 104 patients with neck of femur fracture undergoing hemiarthroplasty (although 7 participants did not finish the study). The inclusion criteria were patients older than 65 years old, ASA I-III status, who required and gave their consent for hemiarthroplasty...
March 2016: Revista Española de Anestesiología y Reanimación
Asami Tomita, Makoto Satani, Akihiro Morimoto, Haruaki Ishibashi, Yutaka Yonemura
BACKGROUND: We investigated the efficacy of postoperative analgesia in peritonectomy for patients with peritoneal surface malignancy, by comparing peripheral nerve block (PNB) with intravenous patient controlled analgesia (iv-PCA) group to patient controlled epidural analgesia (PCEA) group. METHODS: Forty one patients of PNB+iv-PCA group received ultrasound guided rectus sheath block (using 0.25% levobupivacaine 20 ml bilaterally) and posterior transversus abdominis plane block (30 ml bilaterally) after induction of anesthesia...
February 2015: Masui. the Japanese Journal of Anesthesiology
Matthias Desmet, Dries Helsloot, Evie Vereecke, Carlo Missant, Marc van de Velde
BACKGROUND AND OBJECTIVES: The transversus abdominis plane (TAP) block can be used as part of a multimodal analgesia protocol after abdominal surgery. This study investigated whether a pneumoperitoneum during abdominal surgery influences the spread of local anesthetics. METHODS: Nine fresh frozen cadavers were used for the study. Using an ultrasound-guided midaxillary technique, a unilateral TAP block-like injection with 20 mL of methylene blue dye was performed...
July 2015: Regional Anesthesia and Pain Medicine
Smaranjit Chatterjee, Jayanta Bain, Somita Christopher, Tirupati Venkata Swamy Gopal, Kalidindi Prasad Raju, Piyush Mathur
AIM: The number of patients with end-stage renal disease (ESRD) has shown a consistent rise in India in recent years. Continuous ambulatory peritoneal dialysis (CAPD) remains one of the safe and effective forms of treatment. In this study, we have tried to assess the effectiveness of field block technique for analgesia during catheter placement surgery until 24 h postoperatively, also, if it can obviate the need for general anesthesia in these high-risk patients. MATERIALS AND METHODS: We studied 52 ESRD patients from 2010 to 2012 who were posted for CAPD catheterization in the Department of Urology, Care Hospital, Hyderabad, India...
April 2015: Saudi Journal of Anaesthesia
Vasanth Rao Kadam
No abstract text is available yet for this article.
January 2015: Journal of Anaesthesiology, Clinical Pharmacology
Manar Serag Eldin, Fatma Mahmoud, Rabab El Hassan, Mohamed Abdel Raouf, Mohamed H Afifi, Khaled Yassen, Wesam Morad
BACKGROUND: Coagulation changes can complicate liver resection, particularly in patients with cirrhosis. The aim of this prospective hospital-based comparative study was to compare the postoperative analgesic efficacy of intravenous fentanyl patient-controlled analgesia (IVPCA) with and without transversus abdominis plane (TAP) block. METHODS: Fifty patients with Child's A cirrhosis undergoing liver resection were randomly divided into two groups for postoperative analgesia, ie, an IVPCA group receiving a 10 μg/mL fentanyl bolus of 15 μg with a 10-minute lockout and a maximum hourly dose of 90 μg, and an IVPCA + TAP group that additionally received TAP block (15 mL of 0...
2014: Local and Regional Anesthesia
G Niraj, A Kelkar, E Hart, C Horst, D Malik, C Yeow, B Singh, S Chaudhri
Posterior transversus abdominis plane blocks have been reported to be an effective method of providing analgesia after lower abdominal surgery. We compared the efficacy of a novel technique of providing continuous transversus abdominis plane analgesia with epidural analgesia in patients on an enhanced recovery programme following laparoscopic colorectal surgery. A non-inferiority comparison was used. Adult patients undergoing elective laparoscopic colorectal surgery were randomly assigned to receive continuous transversus abdominis plane analgesia (n = 35) vs epidural analgesia (n = 35), in addition to a postoperative analgesic regimen comprising regular paracetamol, regular diclofenac and tramadol as required...
April 2014: Anaesthesia
Pernille L Petersen, Karen L Hilsted, Jørgen B Dahl, Ole Mathiesen
BACKGROUND: The analgesic effect of a TAP block has been investigated in various surgical settings. There are however limited information about block level and block duration. Furthermore, there is a lack of information about continuous TAP block after ultrasound-guided posterior TAP blocks.The aim of this double-blind randomized study was therefore to investigate the effect of an ultrasound-guided posterior TAP block with 24 hours local anesthetic infusion via a TAP catheter. METHODS: In this randomized study 8 male volunteers received a bilateral TAP block (20 mLs 0...
October 10, 2013: BMC Anesthesiology
Chee Kean Chen, Peter Chee Seong Tan, Vui Eng Phui, Shu Ching Teo
BACKGROUND: The ultrasound-guided oblique subcostal transversus abdominis plane (OSTAP) block provides a wider area of sensory block to the anterior abdominal wall than the classical posterior approach. We compared the intra-operative analgesic efficacy of OSTAP block with conventional intravenous (IV) morphine during laparoscopic cholecystectomy. METHODS: Forty adult patients undergoing laparoscopic cholecystectomy under standard general anesthesia, were randomly assigned for either bilateral OSTAP block using 1...
June 2013: Korean Journal of Anesthesiology
F W Abdallah, J G Laffey, S H Halpern, R Brull
BACKGROUND: Both posterior and lateral transversus abdominis plane (TAP) block techniques provide effective early (0-12 h) postoperative analgesia after transverse incision surgery. However, whether either technique produces prolonged analgesia lasting beyond 12 h remains controversial. This meta-analysis examines the duration of analgesia associated with posterior and lateral TAP blocks in the first 48 h after lower abdominal transverse incision surgery. METHODS: We retrieved randomized controlled trials (RCTs) investigating the analgesic effects of TAP block compared with control in patients undergoing lower abdominal transverse incision surgery...
November 2013: British Journal of Anaesthesia
E C Hessian, B E Evans, J A Woods, D J Taylor, E Kinkel, A R Bjorksten
BACKGROUND: The transversus abdominis plane (TAP) block is a regional anaesthetic technique that blocks abdominal wall somatic afferent nerves. We conducted a prospective observational study to evaluate the venous plasma concentrations of ropivacaine during a continuous TAP infusion. METHODS: Twenty patients who were planned to undergo intra-abdominal cavity surgery requiring a mid-line laparotomy incision were enrolled. Patients were excluded if they had a history of chronic pain, opioid tolerance, renal or hepatic impairment, or contraindication to study medications...
September 2013: British Journal of Anaesthesia
Farheen Mirza, Brendan Carvalho
PURPOSE: The role of routine transversus abdominis plane (TAP) blocks at the time of surgery for Cesarean delivery analgesia is uncertain. Previous studies have shown no additional analgesic benefit in patients receiving intrathecal morphine. We present a series of three cases where TAP blocks were used for rescue analgesia in patients who had severe post-Cesarean delivery pain after a standard spinal anesthetic containing bupivacaine 12 mg, fentanyl 10 μg, and morphine 200 μg. CLINICAL FEATURES: All three women experienced severe incisional pain in the postanesthetic care unit (PACU) after offset of spinal anesthesia...
March 2013: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
K Stuart-Smith
This report describes the use of a transversus abdominis plane block as the main anaesthetic technique for the performance of a hemiarthroplasty in a patient with severe cardiac and respiratory dysfunction, for whom both general and spinal anaesthesia carried considerable risks. The block was performed in the triangle of Petit posterior to the mid-axillary line, using a landmark technique. A combination of lidocaine 1% (20 ml) and bupivacaine 0.5% (20 ml) was administered. A low-dose propofol infusion was used intra-operatively to relieve anxiety, although the patient breathed spontaneously throughout the procedure and responded to voice commands...
April 2013: Anaesthesia
Pernille Lykke Petersen, Pia Stjernholm, Viggo B Kristiansen, Henrik Torup, Egon G Hansen, Anja U Mitchell, Ann Moeller, Jacob Rosenberg, Joergen B Dahl, Ole Mathiesen
BACKGROUND: Laparoscopic cholecystectomy is associated with postoperative pain of moderate intensity in the early postoperative period. Recent randomized trials have demonstrated the efficacy of transversus abdominis plane (TAP) block in providing postoperative analgesia after abdominal surgery. We hypothesized that a TAP block may reduce pain while coughing and at rest for the first 24 postoperative hours, opioid consumption, and opioid side effects in patients undergoing laparoscopic cholecystectomy in day-case surgery...
September 2012: Anesthesia and Analgesia
J Carney, O Finnerty, J Rauf, D Bergin, J G Laffey, J G Mc Donnell
The extent of analgesia provided by transversus abdominis plane blocks depends upon the site of injection and pattern of spread within the plane. There are currently a number of ultrasound-guided approaches in use, including an anterior oblique-subcostal approach, a mid-axillary approach and a more recently proposed posterior approach. We wished to determine whether the site of injection of local anaesthetic into the transversus abdominis plane affects the spread of the local anaesthetic within that plane, by studying the spread of a local anaesthetic and contrast solution in four groups of volunteers...
November 2011: Anaesthesia
Justin W Heil, Brian M Ilfeld, Vanessa J Loland, NavParkash S Sandhu, Edward R Mariano
BACKGROUND AND OBJECTIVES: Transversus abdominis plane (TAP) blocks anesthetize the lower abdominal wall, and TAP catheters have been used to provide prolonged postoperative analgesia after laparotomy. The use of TAP catheters on an outpatient basis has not yet been described. We present our experience with ultrasound-guided TAP perineural catheter insertion and subsequent management of ambulatory TAP local anesthetic infusions after inguinal hernia repair. METHODS: Three patients scheduled for unilateral open inguinal hernia repair underwent preoperative posterior TAP catheter placement for postoperative pain management using a technique employing ultrasound guidance alone...
November 2010: Regional Anesthesia and Pain Medicine
Peter D Hebbard, Michael J Barrington, Carolyn Vasey
BACKGROUND: Recently, ultrasound-guided transversus abdominis plane blockade for abdominal wall analgesia has been described, and it involves injection of local anesthetic into the transversus abdominis plane. The posterior approach involves injection of local anesthetic in the lateral abdominal wall between the costal margin and the iliac crest and is suitable for postoperative analgesia after surgery below the umbilicus. The subcostal approach is suitable after abdominal surgery in the periumbilical region...
September 2010: Regional Anesthesia and Pain Medicine
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