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Abdominal wall's Blocks

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28 papers 0 to 25 followers
Jens Børglum, Ismail Gögenür, Thomas F Bendtsen
PURPOSE OF REVIEW: Abdominal wall blocks in adults have evolved much during the last decade; that is, particularly with the introduction of ultrasound-guided (USG) blocks. This review highlights recent advances of block techniques within this field and proposes directions for future research. RECENT FINDINGS: Ultrasound guidance is now considered the golden standard for abdominal wall blocks in adults, even though some landmark-based blocks are still being investigated...
October 2016: Current Opinion in Anaesthesiology
J L Hutchins, R Kesha, F Blanco, T Dunn, R Hochhalter
We compared the effect of subcostal transversus abdominis plane (TAP) block with liposomal bupivacaine to TAP block with non-liposomal bupivacaine on postoperative maximal pain scores in patients undergoing donor nephrectomy. Sixty patients were prospectively randomly assigned to receive ultrasound-guided bilateral TAPs with either 1.3% liposomal bupivacaine and normal saline or 0.25% non-liposomal bupivacaine with adrenaline. There was a significant decrease in maximal pain scores in the liposomal bupivacaine TAP group when compared with the non-liposomal bupivacaine group median (IQR [range]), 24-48 h after injection, 5 (3...
August 2016: Anaesthesia
Fanny Klasen, Aurélie Bourgoin, François Antonini, Emma Dazeas, Florence Bretelle, Claude Martin, Karine Baumstarck, Marc Leone
OBJECTIVE: Single shot transversus abdominis plane (TAP) block and continuous local anaesthetic infiltration wound catheter (CLAIWC) decreased the morphine consumption after caesarean section. The aim of this study was to compare the analgesic efficacy of CLAIWC and ultrasound-guided TAP block. METHOD: Sixty patients undergoing caesarean section were prospectively randomized. After the caesarean section, the postoperative analgesia was randomized to either a CLAIWC localized below the fascia with an elastomeric pump for 48hours or a bilateral ultrasound-guided TAP block with injection of ropivacaine...
June 20, 2016: Anaesthesia, Critical Care & Pain Medicine
Kariem El-Boghdadly, Hesham Elsharkawy, Anthony Short, Ki Jinn Chin
No abstract text is available yet for this article.
July 2016: Regional Anesthesia and Pain Medicine
Laleh Eslamian, Motahareh Kabiri-Nasab, Marzieh Agha-Husseini, Omid Azimaraghi, Gilda Barzin, Ali Movafegh
Pain management is crucially important in the postoperative period as it increases patient comfort and satisfaction. The primary outcome of present study was to evaluate the effect of sufentanil added to hyperbaric bupivacaine solution 0.25% in transversus abdominis plane (TAP) block, on postoperative analgesic consumption. Fifty ASA physical status I-II term primiparous single-tone pregnant women aged 20-40 years scheduled for elective cesarean delivery with Pfannenstiel incision under general anaesthesia were enrolled in this randomized, double-blind, placebo-controlled trial...
March 2016: Acta Medica Iranica
Yuexiang Wang, Tao Wu, Marisa J Terry, Jason S Eldrige, Qiang Tong, Patricia J Erwin, Zhen Wang, Wenchun Qu
[Purpose] Ultrasound-guided ilioinguinal/iliohypogastric (II/IH) nerve and transversus abdominis plane (TAP) blocks have been increasingly utilized in patients for perioperative analgesia. We conducted this meta-analysis to evaluate the clinical efficacy of ultrasound-guided II/IH nerve or TAP blocks for perioperative analgesia in patients undergoing open inguinal surgery. [Subjects and Methods] A systematic search was conducted of 7 databases from the inception to March 5, 2015. Randomized controlled trials (RCTs) comparing the clinical efficacy of ultrasound-guided vs...
March 2016: Journal of Physical Therapy Science
Maitreyi Gajanan Mankikar, Shalini Pravin Sardesai, Poonam Sachin Ghodki
BACKGROUND AND AIMS: Transversus abdominis plane (TAP) block is a fascial plane block providing post-operative analgesia in patients undergoing surgery with infra-umbilical incisions. We evaluated analgesic efficacy of TAP block with ropivacaine for 24 h after caesarean section through a Pfannenstiel incision. METHODS: Sixty patients undergoing caesarean section under spinal anaesthesia were randomised to undergo TAP block with ropivacaine (n = 30) versus control group (n = 30) with normal saline, in addition to standard analgesia with intravenous paracetamol and tramadol...
April 2016: Indian Journal of Anaesthesia
Arghya Mukherjee, Rahul Guhabiswas, Sarang Kshirsagar, Emmanuel Rupert
No abstract text is available yet for this article.
April 2016: Indian Journal of Anaesthesia
Shahla Siddiqui, Subhashini Anandan
No abstract text is available yet for this article.
May 2016: Indian Journal of Anaesthesia
J M López-González, S López-Álvarez, B M Jiménez Gómez, I Areán González, G Illodo Miramontes, L Padín Barreiro
INTRODUCTION: The aim of the study was to assess the effectiveness of ultrasound-guided transversalis fascia plane block (TFP) compared to anterior transversus abdominis plane block (TAP-A) for post-operative analgesia in outpatient unilateral inguinal hernia repair. MATERIALS AND METHODS: Retrospective observational study conducted on ASA I-II patients. Two groups (TAP-A and TFP), which were given 30ml of 0.25% levobupivacaine prior to surgical incision. The primary endpoint was the post-operative pain evaluated by verbal numerical scale (VRN at rest and movement) at 10, 30, 60, 90min, coinciding with ambulation, and 24hours by telephone...
April 8, 2016: Revista Española de Anestesiología y Reanimación
Ramon Go, Yolanda Y Huang, Paul D Weyker, Christopher Aj Webb
As the American healthcare system continues to evolve and reimbursement becomes tied to value-based incentive programs, perioperative pain management will become increasingly important. Regional anesthetic techniques are only one component of a successful multimodal pain regimen. In recent years, the use of peripheral and paraneuraxial blocks to provide chest wall and abdominal analgesia has gained popularity. When used within a multimodal regimen, truncal blocks may provide similar analgesia when compared with other regional anesthetic techniques...
October 2016: Pain Management
Shelly Rana, Ravinder Kumar Verma, Jai Singh, Sudarshan Kumar Chaudhary, Ankita Chandel
BACKGROUND AND AIMS: Transversus abdominis plane (TAP) block has proven to be an effective component of multimodal analgesic regimens for a variety of abdominal procedures. Magnesium sulphate (MgSO4) N-methyl-D-aspartate receptor antagonist has the potential to be an ideal adjuvant in TAP block. We studied the efficacy of MgSO4 as an adjuvant to bupivacaine in TAP block in patients scheduled for total abdominal hysterectomy (TAH) under subarachnoid block (SAB). METHODS: Sixty-five women belonging to American Society of Anesthesiologists physical status 1 or 2, aged between 35 and 70 years, scheduled for TAH under SAB were recruited...
March 2016: Indian Journal of Anaesthesia
Steven Lee, Thomas Goetz, Angineh Gharapetian
The transversalis fascia plane block is a relatively new truncal block that targets the iliohypogastric and ilioinguinal nerves. It is gaining wider usage for its reliability to block these nerves as compared with the transversus abdominis plane block. The case presented here appears to be the first time that motor weakness has resulted from this block technique. It is suspected that central and proximal spread of local anesthetic toward the psoas muscle may have resulted in a partial lumbar plexus block.
October 1, 2015: A & A Case Reports
R Yasumura, Y Kobayashi, R Ochiai
Levobupivacaine is commonly used as the local anaesthetic of choice in peripheral nerve blocks, but its pharmacokinetics have not been fully investigated. We compared the changes in plasma concentrations of levobupivacaine following transversus abdominis plane block and rectus sheath block. Fifty woman undergoing laparoscopy were randomly allocated to receive either a transversus abdominis plane block or an rectus sheath block. In both groups, 2.5 levobupivacaine was administered, and blood samples were obtained 15 min, 30 min, 60 min and 120 min after injection...
May 2016: Anaesthesia
Matthew Abrahams, Ryan Derby, Jean-Louis Horn
UNLABELLED: We summarized the evidence for ultrasound (US) guidance for truncal blocks in 2010 by performing a systematic literature review and rating the strength of evidence for each block using a system developed by the United States Agency for Health Care Policy and Research. Since then, numerous studies of US guidance for truncal blocks have been published. In addition, 3 novel US-guided blocks have been described since our last review. To provide updated recommendations, we performed another systematic search of the literature to identify studies pertaining to US guidance for the following blocks: paravertebral, intercostal, transversus abdominis plane, rectus sheath, ilioinguinal/iliohypogastric, as well as the Pecs, quadratus lumborum, and transversalis fascia blocks...
March 2016: Regional Anesthesia and Pain Medicine
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
Sugantha Ganapathy, Rakesh V Sondekoppam, Magdalena Terlecki, Jonathan Brookes, Sanjib Das Adhikary, Lakshmimathy Subramanian
BACKGROUND: We recently described a lateral-to-medial approach for transversus abdominis plane (LM-TAP) block, which may permit preoperative initiation of the block. OBJECTIVE: Our objective was to evaluate the feasibility of continuous LM-TAP blocks in clinical practice in comparison with thoracic epidural analgesia (TEA). DESIGN: A randomised, open-label study. SETTING: University Hospital, London Health Sciences Centre, London, Ontario, Canada from July 2008 to August 2012...
November 2015: European Journal of Anaesthesiology
Kunihisa Hotta, Soichiro Inoue, Koki Taira, Naho Sata, Kenji Tamai, Mamoru Takeuchi
PURPOSE: Both single-injection transversus abdominis plane (TAP) block and continuous wound infiltration (CWI) provide postoperative analgesia, but no study has compared the two regional techniques. We tested the hypothesis that CWI is more effective for controlling postoperative pain compared with single-injection TAP block after laparotomy. METHODS: We conducted a prospective randomized study of patients undergoing gynecologic laparotomy with midline incision through the umbilicus under general anesthesia...
February 2016: Journal of Anesthesia
Beena Kandarp Parikh, V Waghmare, Veena R Shah, P Modi, S Rizvi, S Khemchandani, B Butala, G Parikh
BACKGROUND AND AIMS: Transversus abdominis plane (TAP) block is suitable for operations where parietal pain is a major cause of pain. Renal transplant recipients are ideally suited to gain maximum benefit from TAP block as the incision classically involves the lower abdomen. This study was conducted to evaluate the analgesic efficacy of continuous TAP block in transplant recipients. MATERIAL AND METHODS: In a prospective double-blind study, 40 chronic renal failure patients undergoing open renal transplant were randomly divided into two groups...
October 2015: Journal of Anaesthesiology, Clinical Pharmacology
Jeffrey Gadsden, Sabry Ayad, Jeffrey J Gonzales, Jaideep Mehta, Jan Boublik, Jacob Hutchins
Transversus abdominis plane (TAP) infiltration is a regional anesthesia technique that has been demonstrated to be effective for management of postsurgical pain after abdominal surgery. There are several different clinical variations in the approaches used for achieving analgesia via TAP infiltration, and methods for identification of the TAP have evolved considerably since the landmark-guided technique was first described in 2001. There are many factors that impact the analgesic outcomes following TAP infiltration, and the various nuances of this technique have led to debate regarding procedural classification of TAP infiltration...
2015: Local and Regional Anesthesia
2015-12-21 15:03:34
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