<scp>TAP</scp> blocks for laparoscopic appendicectomy

Baldwin, Margaret; Devlin, Aidan Patrick

doi:10.1111/anae.13367

Anaesthesia

2016

DOI: 10.1111/anae.13367

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TAP blocks for laparoscopic appendicectomy

Margaret Baldwin

Aidan Patrick Devlin

Abstract: information on the apparent lack of efficacy of sugammadex in the management of rocuronium-induced anaphylaxis. This is consistent with in-vivo experiments and a rational appraisal of the pathophysiology of anaphylaxis [2, 3]. This is the first study that has examined the efficacy of sugammadex in presumed anaphylaxis that includes a control group. As we provided all our data in a summary table, as well as comprehensive case details in the online version of the article, readers will be able to formulate their … Show more

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Regional Anesthetic Blocks in Plastic Surgery Using Portable Ultrasound

Homsy

Lindsey

2019

Ann Plast Surg

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Background With the introduction of latest generation ultrasound technology and its easy availability and portability, regional anesthetic blocks, which were formally in the domain of anesthesiologists, have now become available to practicing plastic surgeons. Enhanced Recovery After Surgery protocols for other specialties such as orthopedics and colorectal surgery have incorporated regional anesthetic blocks. These regional blocks have been shown to be effective in improving the patient comfort and experience and decreasing reliance on opioid medications. Methods Patients scheduled for elective plastic surgery received PEC-1, serratus anterior plane, or transversus abdominis plane blocks as indicated for the proposed procedure. All blocks were performed under ultrasound guidance using the Philips Lumify system with the linear array 12-4 probe by the operating surgeon. Results A total of 83 patients received regional anesthetic blocks by the senior author. Thirty-three patients undergoing cosmetic breast augmentation or implant-based breast reconstruction received the PEC-1 and the serratus anterior plane blocks after the induction of anesthesia but before the prep and drape. Fifty patients undergoing either abdominoplasty or deep inferior epigastric perforator flap reconstruction received intraoperative transversus abdominis plane blocks. Anatomic planes were clearly visualized with this new ultrasound technology. Patients experienced good to excellent analgesia with less reliance on opioid medications and decreased need for refills. For hospitalized patients, length of stay in some cases was decreased up to 1 day, and PCA pumps were eliminated. There were no complications or adverse sequelae observed in any of these patients related to the regional blocks. Conclusions Incorporation of these known regional anesthetic techniques in this single-surgeon experience seems to confirm reports of effectiveness in the anesthesia literature and may be of benefit to a wide range of plastic surgery patients.

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Regional Anesthetic Blocks in Plastic Surgery Using Portable Ultrasound

Homsy

Lindsey

2019

Ann Plast Surg

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TAP blocks for laparoscopic appendicectomy

Cited by 1 publication

References 3 publications

Regional Anesthetic Blocks in Plastic Surgery Using Portable Ultrasound

Regional Anesthetic Blocks in Plastic Surgery Using Portable Ultrasound

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