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Transverse abdominis plane block

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https://www.readbyqxmd.com/read/28222631/analgesic-effects-of-ultrasound-guided-transverse-abdominis-plane-block-using-different-volumes-and-concentrations-of-local-analgesics-after-laparoscopic-cholecystectomy
#1
Ayça Sultan Şahin, Necmiye Ay, Nuri Alper Şahbaz, Mehlika Kocabaş Akay, Yavuz Demiraran, Abdurrahim Derbent
Objective To evaluate the effects of an ultrasound-guided transverse abdominis plane (US-TAP) block used for postoperative pain relief by comparing the efficacy of two different volumes/concentrations of the local anaesthetic bupivacaine in patients undergoing laparoscopic cholecystectomies. Methods This randomized study enrolled patients undergoing laparoscopic cholecystectomies. They were randomized to two groups: group A received a 20 ml US-TAP block (50 mg bupivacaine +10 ml saline solution) and group B received a 30 ml US-TAP block (50 mg bupivacaine + 20 ml saline solution)...
February 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28217069/can-ultrasound-guided-subcostal-transverse-abdominis-plane-block-be-used-as-sole-anesthetic-technique
#2
Pooja Bihani, Pradeep Bhatia, Swati Chhabra, Pradeepika Gangwar
Subcostal transverse abdominis plane (TAP) block anesthetizes area of the abdomen with cutaneous innervation of T6-T10 dermatomes. These abdominal field blocks become very advantageous when cardiac patient presents for noncardiac surgeries as sole anesthetic or as a part of multimodal anesthesia. A 58-year-male came for open surgical repair of subxiphoid incisional hernia developed post coronary artery bypass grafting (CABG). Echocardiography showed hypokinesia of left ventricle (LV) in the left anterior descending (LAD) artery territory, dilated LV, and ejection fraction of 30%, and coronary angiography after 6 months of CABG showed 70% stenosis of LAD...
January 2017: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/28118214/pectoral-nerve-and-transverse-abdominis-plane-block-in-a-patient-undergoing-mastectomy-with-transverse-rectus-abdominis-muscle-flap-a-case-report
#3
Sephalie Y Patel, Raymond M Evans, Rosemarie E Garcia Getting, Pilar Suz
Postoperative nausea, vomiting, and pain present considerable concerns after reconstructive breast surgery. We present a case report of a 65-year-old woman with a history of severe postoperative nausea and vomiting, presenting for unilateral mastectomy with transverse rectus abdominis muscle flap. We performed unilateral pectoral nerve block and transverse abdominis plane block, which provided 24 hours of pain control and mitigated nausea and vomiting during the postoperative period.
January 23, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28092334/is-enhanced-recovery-the-new-standard-of-care-in-microsurgical-breast-reconstruction
#4
Anoushka Afonso, Sabine Oskar, Kay See Tan, Joseph J Disa, Babak J Mehrara, Jihan Ceyhan, Joseph H Dayan
BACKGROUND: Enhanced recovery pathways (ERPs) have been shown to aid in patient recovery and improve outcomes in many surgical settings. At present, there is limited data available regarding the use and feasibility of ERPs for patients undergoing microsurgical breast reconstruction. We sought to assess patient outcomes before and after the introduction of an ERP that was adopted by multiple surgeons at a single cancer center. METHODS: A multidisciplinary ERP was developed for patients undergoing deep inferior epigastric perforator (DIEP) or muscle-sparing free transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction...
January 12, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28007030/ultrasound-anatomy-of-the-transversus-abdominis-plane-region-in-pregnant-women-before-and-after-cesarean-delivery
#5
Nicholas Kiefer, Stefanie Krahe, Ulrich Gembruch, Stefan Weber
BACKGROUND: After cesarean delivery, analgesia is often incomplete and a multimodal approach to analgesia is necessary. Transverse abdominal plane (TAP) block has been advocated in this setting, yet no systematic description of the ultrasound anatomy in pregnant women exists in the literature. Therefore, we aimed to describe the sonographical features of relevant structures in pregnant women before and after elective cesarean. METHODS: Sixty women at, or close to term scheduled for elective cesarean delivery underwent a standardized ultrasound examination before and after delivery...
December 22, 2016: BMC Anesthesiology
https://www.readbyqxmd.com/read/27943522/no-benefit-of-ultrasound-guided-transversus-abdominis-plane-tap-blocks-over-local-anaesthetic-wound-infiltration-in-elective-laparoscopic-colonic-surgery-results-of-a-double-blind-randomised-controlled-trial
#6
A Rashid, K J Gorissen, F Ris, M P Gosselink, J R Shorthouse, A D Smith, J J Pandit, I Lindsey, N Crabtree
AIM: Advances in laparoscopic techniques combined with enhanced recovery pathways have led to faster recuperation and discharge after colorectal surgery. Peripheral nerve blockade using Transversus Abdominis Plane (TAP) blocks reduce opioid requirements and provide better analgesia than inactive controls for laparoscopic colectomies. This double-blind randomized study was performed comparing TAP blocks using Bupivacaine to standardised wound infiltration with local anaesthetic (LA). METHODS: 71 Patients were randomised between either TAP-block or wound infiltration...
December 10, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27442394/effect-of-adding-dexamethasone-as-a-ropivacaine-adjuvant-in-ultrasound-guided-transversus-abdominis-plane-block-for-inguinal-hernia-repair
#7
RANDOMIZED CONTROLLED TRIAL
Andrijan Kartalov, Nikola Jankulovski, Biljana Kuzmanovska, Milka Zdravkovska, Mirjana Shosholcheva, Tatjana Spirovska, Aleksandra Panovska Petrusheva, Marija Tolevska, Marija Srceva, Vesna Durnev, Gjorgji Jota, Redzep Selmani, Atanas Sivevski
BACKGROUND: The transverses abdominals plane block (TAP) is a regional anesthesia technique that provided analgesia to the parietal peritoneum, skin and muscles of the anterior abdominal wall. The aim of this randomized double-blind study was to evaluate postoperative analgesia on patients undergoing open inguinal hernia repair under general anesthesia (GA), (GA + TAP) block preformed with ropivacaine and (GA + TAP-D) block preformed with ropivacaine and 4 mg dexamethasone. METHODS: 90 (ASA I-II) adult patients for unilateral open inguinal hernia repair were included in this study...
2015: Prilozi (Makedonska Akademija Na Naukite i Umetnostite. Oddelenie za Medicinski Nauki)
https://www.readbyqxmd.com/read/27247931/unilateral-ultrasound-guided-transversus-abdominis-plane-block-after-nephrectomy-postoperative-pain-and-use-of-opioids
#8
Nessn H Azawi, Karina Sif Sondergaard Mosholt, Mikkel Fode
BACKGROUND: Pain has a wide spectrum of effects on the body and inadequately controlled postoperative pain may have harmful physiologic and psychological consequences and increase morbidity. In addition, opioid anesthetic agents in high doses can blunt endocrine and metabolic responses following surgery and are associated with side effects including dizziness, nausea, vomiting, constipation, and respiratory depression. OBJECTIVES: The current study aimed to investigate if unilateral ultrasound-guided transverse abdominal plane block (TAP-block) could reduce pain and postoperative use of patient requested analgesics following nephrectomy compared to local injection of the same ropivacaine dose in the surgical wound...
March 2016: Nephro-urology Monthly
https://www.readbyqxmd.com/read/27127366/peri-incisional-catheters-through-open-surgical-wound-in-converted-nephrectomies-a-novel-modification-of-transverse-abdominis-plane-block
#9
Amit Kumar Mittal, Nitesh Goel, Jitendra Kumar Dubey, Prashant Bansal, Amitabh Singh
No abstract text is available yet for this article.
April 2016: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/26821876/adding-a-transversus-abdominis-plane-block-to-parenteral-opioid-for-postoperative-analgesia-following-trans-abdominal-hysterectomy-in-a-low-resource-setting-a-prospective-randomised-double-blind-controlled-study
#10
RANDOMIZED CONTROLLED TRIAL
Nomaqhawe Moyo, Farai D Madzimbamuto, Samson Shumbairerwa
BACKGROUND: The current gold standard treatment for acute postoperative pain after major abdominal surgery is multimodal analgesia using patient controlled analgesia delivery systems. Patient controlled analgesia systems are expensive and their routine use in very low income countries is not practical. The use of ultrasound in anaesthesia has made some regional anaesthesia blocks technically easy and safe to perform. This study aimed to determine whether adding an ultrasound guided transversus abdominis plane block as an adjunct to the current parenteral opioid based regimen would result in superior pain relief after a trans abdominal hysterectomy compared to using parenteral opioids alone...
January 28, 2016: BMC Research Notes
https://www.readbyqxmd.com/read/26786377/-radical-hysterectomy-in-a-patient-with-steinert-disease-spinal-anaesthesia-ketamine-and-tap-and-rectus-sheath-blocks
#11
I Armendáriz-Buil, V Marenco-Arellano
The case of a patient with Steinert disease who underwent surgery for radical hysterectomy is presented. Because of her advanced disease, she suffered from chronic respiratory failure which required non-invasive ventilation (NIV) at night. Spinal anaesthesia was chosen as an anaesthetic treatment. At the time of aortic lymphadenectomy, the patient reported moderate pain at hypogastrium, which was well controlled with boluses of 10 mg of ketamine. Postoperatively, opioid administration was avoided by applying abdominal wall blocks: transverse abdominis plane (TAP) block and sheath of rectus abdominis muscle block...
September 2015: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/26714659/useful-points-of-geometry-and-topography-of-the-lumbar-triangle-for-transversus-abdominis-plane-block
#12
Zbigniew Ziętek, Kamil Starczewski, Tadeusz Sulikowski, Iza Iwan-Ziętek, Żukowski Maciej, Marek Kamiński, Angelika Ziętek-Czeszak
BACKGROUND: A new look at the topography of the lumbar triangle becomes a challenge for modern anesthesia. The aim of this study was to redefine the topography of the lumbar triangle for transverse abdominis plane block. MATERIAL AND METHODS: We explored 74 lumbar regions in 37 preserved cadavers (17 F and 20 M). RESULTS: The lumbar triangle was identified in 66 (89%) out of all explored cadavers' lumbar regions. The predominant triangle was the acute-angled shaped...
December 30, 2015: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/26495084/ultrasound-guided-transversus-abdominis-plane-block-for-anterior-cutaneous-nerve-entrapment-syndrome
#13
Rajendra Kumar Sahoo, Abhijit S Nair
Anterior cutaneous nerve entrapment syndrome (ACNES) is one the most common cause of chronic abdominal wall pain. The syndrome is mostly misdiagnosed, treated wrongly and inadequately. If diagnosed correctly by history, examination and a positive carnett test, the suffering of the patient can be relieved by addressing the cause i.e. local anaesthetic with steroid injection at the entrapment site. Conventionally, the injection is done by landmark technique. In this report, we have described 2 patients who were diagnosed with ACNES who were offered ultrasound guided transverses abdominis plane (TAP) injection who got significant pain relief for a long duration of time...
October 2015: Korean Journal of Pain
https://www.readbyqxmd.com/read/26282913/efficacy-of-transverse-abdominis-plane-block-in-reduction-of-postoperation-pain-in-laparoscopic-cholecystectomy
#14
Alireza Saliminia, Omid Azimaraghi, Shiva Babayipour, Kamelia Ardavan, Ali Movafegh
OBJECTIVE: Transversus abdominis plane (TAP) block is a recently introduced regional anesthesia technique that is used for postoperative pain reduction in some abdominal surgeries. The present study evaluated the efficacy of the TAP block on the post laparoscopic cholecystectomy pain intensity and analgesic consumption. METHODS: Fifty-four patients were enrolled in three groups: TAP block with normal saline (Group 1, n = 18); TAP block with bupivacaine (Group 2, n = 18); and TAP block with bupivacaine plus sufentanil (Group 3, n = 18)...
December 2015: Acta Anaesthesiologica Taiwanica: Official Journal of the Taiwan Society of Anesthesiologists
https://www.readbyqxmd.com/read/26240550/efficacy-of-trans-abdominis-plane-block-for-post-cesarean-delivery-analgesia-a-double-blind-randomized-trial
#15
Uma Srivastava, Shilpi Verma, Tapas Kumar Singh, Amrita Gupta, Avanish Saxsena, Keshav Dev Jagar, Mihir Gupta
BACKGROUND: The transverse abdominis plane (TAP) block, a regional block provides effective analgesia after lower abdominal surgeries if used as part of multimodal analgesia. In this prospective, randomized double-blind study, we determined the efficacy of TAP block in patients undergoing cesarean section. MATERIALS AND METHODS: Totally, 62 parturients undergoing cesarean section were randomized in a double-blind manner to receive either bilateral TAP block at the end of surgery with 20 ml of 0...
July 2015: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/26145531/-analgesic-efficacy-of-the-ultrasound-guided-blockade-of-the-transversus-abdominis-plane-a-systematic-review
#16
Javier Ripollés, Sandra Marmaña Mezquita, Alfredo Abad, José Calvo
BACKGROUND: The transverse abdominal plan blockade (TAP) is a block of abdominal wall that has diffused rapidly in the clinical practice as part of a multimodal analgesia for abdominal surgery. The performance of the ultrasound-guided technique has allowed the lowering of potential complications, as well as new approaches that according to the descriptions carried out and the prospective studies would make it possible to utilize the TAP in different surgical interventions; however, the results obtained in randomized clinical trials (RCTs) are inconsistent...
July 2015: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/26123144/analgesic-efficacy-of-the-ultrasound-guided-blockade-of-the-transversus-abdominis-plane-a-systematic-review
#17
REVIEW
Javier Ripollés, Sandra Marmaña Mezquita, Alfredo Abad, José Calvo
BACKGROUND: The transverse abdominal plan blockade is a block of abdominal wall that has diffused rapidly in the clinical practice as part of a multimodal analgesia for abdominal surgery. The performance of the ultrasound-guided technique has allowed the lowering of potential complications, as well as new approaches that were carried out according to the descriptions, and the prospective studies would make it possible to utilize the transverse abdominal plan blockade in different surgical interventions; however, the results obtained in randomized clinical trials are inconsistent...
July 2015: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/26066380/pneumoperitoneum-does-not-influence-spread-of-local-anesthetics-in-midaxillary-approach-transversus-abdominis-plane-block-a-descriptive-cadaver-study
#18
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
https://www.readbyqxmd.com/read/25902326/transversus-abdominis-plane-block-versus-caudal-epidural-for-lower-abdominal-surgery-in-children-a-double-blinded-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Robert B Bryskin, Bevan Londergan, Rebekah Wheatley, Renee Heng, Marjorie Lewis, Mark Barraza, Erica Mercer, Gang Ye
BACKGROUND: Transversus abdominis plane block (TAPB) has emerged as a safe and effective regional anesthesia technique for providing postoperative lower abdominal analgesia. Complications associated with TAPB are rare and pose a lower overall risk to the patient receiving a TAPB versus a caudal block, which is considered the gold standard for pediatric lower abdominal regional anesthesia. Our study hypothesis was that TAPB would initially be equivalent to caudal block in providing postoperative pain control but would also show improved pain relief beyond the anticipated caudal duration...
August 2015: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/25897261/pain-relief-after-transversus-abdominis-plane-block-for-abdominal-surgery-in-children-a-service-evaluation
#20
Elonka Bergmans, Alet Jacobs, Rachel Desai, Oliver W Masters, Karl C Thies
We carried out a prospective service evaluation of the quality of pain control after preoperative transverse abdominis plane (TAP) block in 100 children undergoing abdominal surgery. Data were collected on type of procedure, age, weight, level of the block, local anesthetic used, additional analgesia, and hourly pain scores. Of the 100 patients, 87 were included in the evaluation, 77% of who were less than 1 year old. Adequate pain relief was achieved in 93% of all patients. Almost half (47%) of our patients did not require intravenous (IV) opioids in the postoperative period and 27% did not need any IV opioids at all...
2015: Local and Regional Anesthesia
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