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Transverse abdominis plane block

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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
#1
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
#2
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
#3
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
#4
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...
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
#5
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
#6
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...
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
https://www.readbyqxmd.com/read/25693335/-postoperative-numerical-rating-scale-in-patients-undergoing-gynecological-laparotomy-under-general-anesthesia-combined-with-either-single-epidural-injection-or-transverses-abdominis-plane-block
#15
Kumiko Seki, Kaori Kuroiwa, Toshiki Tanaka, Takahiro Takano, Masaaki Nishizawa
BACKGROUND: After the operation, early postoperative ambulation has been recommended for thromboprophylaxis. As more anticoagulant drugs have become available, hemorrhagic complication of epidural anesthesia is the focus of attention. Recently, the spread of ultrasound-guided nerve block has improved the efficacy of the transversus abdominis plane block Therefore, we compared transversus abdominis plane block with epidural anesthesia regarding postoperative numerical scale in patients undergoing gynecological surgery...
October 2014: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/25693139/regional-anaesthesia-in-neonates-infants-and-children-an-educational-review
#16
REVIEW
Martin Jöhr
Prophylactic analgesia with local anaesthesia is widely used in children and has a good safety record. Performing regional blocks in anaesthetised children is a safe and generally accepted practice. When compared with adults, lower concentrations of local anaesthetics are sufficient in children; the onset of a block occurs more rapidly but the duration is usually shorter. Local anaesthetics have a greater volume of distribution, a lower clearance and a higher free (non-protein-bound) fraction. The recommended maximum dose has to be calculated for every individual...
May 2015: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/25558340/is-transverse-abdominis-plane-block-effective-following-local-anesthetic-infiltration-in-laparoscopic-totally-extraperitoneal-hernia-repair
#17
Mun Gyu Kim, Soon Im Kim, Si Young Ok, Sang Ho Kim, Se-Jin Lee, Sun Young Park, Jae-Hwa Yoo, Ana Cho, Kyung Yul Hur, Myung Jin Kim
BACKGROUND: Transverse abdominis plane (TAP) block can be recommended as a multimodal method to reduce postoperative pain in laparoscopic abdominal surgery. However, it is unclear whether TAP block following local anesthetic infiltration is effective. We planned this study to evaluate the effectiveness of the latter technique in laparoscopic totally extraperitoneal hernia repair (TEP). METHODS: We randomly divided patients into two groups: the control group (n = 37) and TAP group (n = 37)...
December 2014: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/25247911/transverse-abdominal-plane-neurostimulation-for-chronic-abdominal-pain-a-novel-technique
#18
Mayank Gupta, Robert Goodson
Management of chronic abdominal pain can be challenging. Sometimes patients fail to get adequate response from multiple medications and nerve blocks. We present a patient case report of chronic abdominal pain with a history of multiple surgeries managed successfully by neuromodulation of the transverse abdominis plane (TAP). The TAP block is a procedure in which local anesthetic is injected into the abdominal fascial plane that carries sensory nerves to the abdominal wall in order to block pain sensation. It has been shown to reduce postoperative pain and analgesic dependence after abdominal and gynecological surgeries...
September 2014: Pain Physician
https://www.readbyqxmd.com/read/24882606/comparison-of-posterior-and-subcostal-approaches-to-ultrasound-guided-transverse-abdominis-plane-block-for-postoperative-analgesia-in-laparoscopic-cholecystectomy
#19
RANDOMIZED CONTROLLED TRIAL
Nidhi Bhatia, Suman Arora, Wig Jyotsna, Gurpreet Kaur
STUDY OBJECTIVE: To evaluate the effectiveness of subcostal TAP block and to compare its efficacy with that of posterior TAP block in decreasing postoperative pain in patients undergoing laparoscopic cholecystectomy during general anesthesia. DESIGN: Prospective, randomized, double-blind study. SETTING: Academic medical center. PATIENTS: 60 adult, ASA physical status 1 and 2 patients of both genders, aged 18-60 years, scheduled for elective laparoscopic cholecystectomy...
June 2014: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/24754569/retrospective-clinical-evaluation-of-ultrasound-guided-transverse-abdominis-plane-block-in-dogs-undergoing-mastectomy
#20
Diego A Portela, Marta Romano, Angela Briganti
HISTORY: Eleven female dogs of different breeds undergoing unilateral radical (n = 7) or regional abdominal mastectomy (n = 4) received an ultrasound guided transverse abdominis plane block (TAP-block). PHYSICAL EXAMINATION: Subjects showed single or multiple mammary tumours. Serum biochemistry, CBC and electrocardiogram were unremarkable. Eight animals were classified as ASA physical status II and 3 as ASA III. MANAGEMENT: Dogs were premedicated with methadone [0...
May 2014: Veterinary Anaesthesia and Analgesia
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