Open gastrostomy under ultrasound-guided bilateral oblique subcostal transversus abdominis plane block

Hasan, Mohd Shahnaz; Ling, Kwong Ung; Vijayan, Ramani; Mamat, Mafeitzeral; Chin, Kin-Fah

doi:10.1097/eja.0b013e32834ad9bd

Cited by 12 publications

(13 citation statements)

References 29 publications

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“…Subcostal TAP assisted by small-dose fentanyl also has been successfully performed in open gastrostomy in 5 patients. [16] Only 1 patient needed local anesthetic injection to the superior end of the incision. The incision area was at the upper midline, which falls within zones 1 and 2 by our definition.…”

Section: Discussionmentioning

confidence: 99%

Analgesic efficacy of ultrasound-guided subcostal transversus abdominis plane block

Jiang²,

Tang³

et al. 2017

Medicine

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Background: To evaluate the analgesic efficacy on defined areas of the abdomen and back after ultrasound-guided subcostal transversus abdominis plane (TAP) block using 0.25% levobupivacaine 0.5 mL/kg.Methods: Twenty patients undergoing elective laparoscopic cholecystectomy, between 20 and 60 years of age with operative time <1 hour, received subcostal TAP block using 0.25% levobupivacaine 0.5 mL/kg on the left side. Surgery started after 1 hour of observation. Sensory assessment was undertaken using pinprick and 75% ethyl alcohol at 10, 20, 30 minutes, 1, 3, and 12 hours after TAP block at 19 testing zones that were divided by anatomic landmark lines on the abdomen and the back. Efficacy of zone was defined as loss of cold temperature sensation or loss of pinprick pain sensation in more than 50% patients in that testing zone. Duration was determined by analgesia and loss of temperature sensation beginning within 30 minutes of TAP block placement lasting until time points of 1, 3, and 12 hours. All of the testing zones were divided as Group I effective at 20 minutes in less than 50% patients (0%-50%), Group II 50% to 70% patients, Group III 70% to 90% patients, and Group IV 90% to 100% patients.Results: Twenty patients meeting the study requirements were included. At each time point, the efficacies among 4 groups were significantly different. Subcostal TAP had good efficacy and stable duration in zones 1, 2, 3, 5, and 6.Conclusion: Subcostal TAP block with 0.25% levobupivacaine 0.5 mL/kg dose provided effective analgesia in the anterior abdominal wall between medioventral line to anterior axillary line except the lateral upper abdominal region.Abbreviation: TAP = transversus abdominis plane.

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Section: Discussionmentioning

confidence: 99%

Analgesic efficacy of ultrasound-guided subcostal transversus abdominis plane block

Jiang²,

Tang³

et al. 2017

Medicine

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“…The use of real-time ultrasound permits precise and reliable deposition of local anesthetics within the target plane and improves the efficacy of TAP block. Recently, some cases reported the use of TAP block for surgical anesthesia ( 1 , 2 ). Hasan et al ( 2 ) reported five case series that open gastrostomy was successfully performed under bilateral subcostal TAP block.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, some cases reported the use of TAP block for surgical anesthesia ( 1 , 2 ). Hasan et al ( 2 ) reported five case series that open gastrostomy was successfully performed under bilateral subcostal TAP block. Among them, only one patient needed local anesthetic injection on the superior end of the surgical incision.…”

Section: Discussionmentioning

confidence: 99%

“…Transversus Abdominis Plane (TAP) block involves infiltration of local anesthetic in the plane between the internal oblique and transversus abdominis muscles. Many previous papers already reported that TAP block provides effective postoperative analgesia following various abdominal surgeries ( 1 ), but the sole use of TAP block for surgical anesthesia has been rarely reported ( 2 ). Therefore, we presented a case of ultrasound-guided unilateral subcostal TAP block providing surgical anesthesia for open gastrostomy.…”

Section: Introductionmentioning

confidence: 99%

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Anesthesia Experience for Open Gastrostomy With Ultrasound-Guided Unilateral Subcostal Transversus Abdominis Plane Block in a High Risk Elderly Patient: A Case Report

Lee

Choe

2015

Anesth Pain Med

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Introduction:Many papers have reported that TAP block provides effective postoperative analgesia, but the sole use of TAP block for surgical anesthesia has been rarely reported.Case Presentation:Therefore, we presented an 80-year-old male undergoing ultrasound-guided unilateral subcostal TAP block providing surgical anesthesia for open gastrostomy. Left subcostal TAP block was performed using the method described by Hebbard with the M-Turbo® ultrasound system and a linear probe placing immediately inferior and parallel to the costal margin. Using a 100 -mm long, 23 G short-bevel needle in-plane technique, 20 mL of 0.25% levobupivacaine was injected on the TAP. A sensory block from T7 to T11 was established and the satisfaction score was 7 - 8.Conclusions:Open gastrostomy was successfully performed under subcostal TAP block with small dose fentanyl supplementation. The subcostal TAP block is considered a useful anesthetic choice in surgery for high risk patients.

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“…7 Very few cases have been reported to be performed only under TAP block without the need for additional anaesthesia. [8][9] Subcostal TAP block is a modification of TAP block that spares the anterolateral region of the abdominal wall that is supplied by the lateral cutaneous branches (LCB).…”

Section: Discussionmentioning

confidence: 99%

Transversus abdominis plane block to the rescue

Eeshwar

Sharma

Budania

et al. 2019

Sri Lankan J Anaesthesiol

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Open gastrostomy under ultrasound-guided bilateral oblique subcostal transversus abdominis plane block

Cited by 12 publications

References 29 publications

Analgesic efficacy of ultrasound-guided subcostal transversus abdominis plane block

Analgesic efficacy of ultrasound-guided subcostal transversus abdominis plane block

Anesthesia Experience for Open Gastrostomy With Ultrasound-Guided Unilateral Subcostal Transversus Abdominis Plane Block in a High Risk Elderly Patient: A Case Report

Transversus abdominis plane block to the rescue

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