Transversus abdominis plane and ilioinguinal/iliohypogastric blocks for cesarean delivery in a patient with type II spinal muscular atrophy

Coffman, J.C.; Fiorini, Kasey; Ristev, G.; Beeston, W; Small, Robert H.

doi:10.1016/j.ijoa.2015.08.016

Cited by 8 publications

(7 citation statements)

References 17 publications

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“…TAPB and IHINB only block the somatic pain, while the visceral pain should be relieved by other methods, including intravenous morphine by PCIA. The common associated adverse events of TAPB and IHINB were also compared in the present study, with no statistical difference observed between the two groups, which was in accordance with other studies (9,23,24).…”

Section: Discussionsupporting

confidence: 92%

Comparison of ultrasound‑guided iliohypogastric/ilioinguinal nerve block and transversus abdominis plane block for analgesia after cesarean section: A retrospective propensity match study

Jin

Zhu

et al. 2019

Exp Ther Med

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Effective and adequate post-operative analgesia for cesarean section is in demand due to increasing rates of cesarean deliveries, and may help promote recovery, ambulation and breastfeeding. Local nerve block has been applied as post-operative analgesia for maternal patients receiving cesarean section; specifically, lateral abdominal transversus abdominis plane block (TAPB) and iliohypogastric/ilioinguinal nerve block (IHINB) under ultrasound guidance have been proven to be effective. The present study aimed to compare the analgesic effect of TAPB and IHINB in maternal females undergoing cesarean section. Propensity-matched females who received cesarean section (n=124) were retrospectively enrolled and divided into the TAPB group (n=62) and the IHINB group (n=62) according to their post-operative analgesia treatment. All of the patients have been given spinal-epidural anesthesia during the operation, while they received either TAPB or IHINB for post-operative analgesia. Demographic and clinical data were collected and compared, including time to first morphine request, cumulative morphine consumption, visual analogue scale (VAS) score and adverse events. Due to propensity matching, there was no significant difference between the two groups in their baseline characteristics (all P>0.05). The log-rank test indicated no significant difference in the Kaplan-Meier curves for the time to first morphine request between the two groups (P=0.575). The VAS score and cumulative morphine consumption at 6 and 12 h was similar between the two groups (all P>0.05). However, these two parameters were significantly lower in the IHINB group at 24 and 48 h (P<0.001). Uni- and multivariate logistic regression analysis indicated that the method of block was not an independent influencing factor regarding postoperative pain relief (P=0.628). There was also no difference between the two groups in adverse events of analgesia (all P>0.05). In conclusion, the present study demonstrated that TAPB and IHINB achieved a comparably satisfactory analgesic effect after cesarean section. However, the analgesic effect of IHINB was better than that of TAPB at the later stages.

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Section: Discussionsupporting

confidence: 92%

Comparison of ultrasound‑guided iliohypogastric/ilioinguinal nerve block and transversus abdominis plane block for analgesia after cesarean section: A retrospective propensity match study

Jin

Zhu

et al. 2019

Exp Ther Med

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“…SMA 0 is luckily very rare since it is the most severe in presentation and is typically discovered prenatally with death occurring almost immediately after birth. SMA 4, on the other hand, is often diagnosed in patients who live relatively normal lives, but exhibit slow deterioration in strength and progressive weakness in adulthood 13,17,18 . Recently, new promising biologic therapies, nusinersen and onasemnogene abeparvovec, have been shown to prolong the functional life of SMA patients by slowing disease progression 19 …”

Section: Spinal Muscular Atrophymentioning

confidence: 99%

“…Truncal blocks (transversus abdominis plane, ilioinguinal, and iliohypogastric nerve blocks) have also been used without issue. 18 In summary, while some procedures may necessitate general anesthesia, regional anesthesia can and should be considered for SMA patients when appropriate.…”

Section: Regional Anesthesia and Smamentioning

confidence: 99%

Regional anesthesia in pediatric patients with preexisting neurological disease

Cung

Ritz

Masaracchia

2021

Pediatric Anesthesia

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Preexisting neurological disease in pediatric patients presents unique challenges to the anesthesiologist. In‐depth knowledge of the disease processes and awareness of sequalae that uniquely influence the risks and benefits of anesthetics are needed to make informed decisions. Because these vulnerable populations are often susceptible to perioperative airway or cardiopulmonary complications, the use of regional anesthesia can be advantageous. However, these clinical conditions already involve compromised neural tissue and, as such, create additional concern that regional anesthesia may result in new or worsened deficits. The following discussion is not intended to be a full review of each disease process, but rather provides a concise, yet thorough, discussion of the available literature on regional anesthesia in the more common, but still rare, pediatric neurological disorders. We aim to provide a framework for pediatric anesthesiologists to reengage in a healthy discussion about the risks and benefits of utilizing regional anesthesia in this vulnerable population.

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“…Ultrasound-guided TAP blocks (lateral-posterior, etc), II-IH blocks and wound infiltration techniques have long been used as components of multimodal analgesia for postoperative analgesia in CD. [28][29][30] Although the analgesic efficacy of these techniques is arguable, a recent systematic review reported that TAP block significantly reduces the 24-hours analgesic requirements. 29 In addition to lateral and anterior abdominal wall blocks, posterior blocks, such as QLBs (QLB-I-II-III) and erector spinae plane blocks (ESPB), also provide effective analgesia in CD.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the analgesic effects of two quadratus lumborum blocks (QLBs), QLB type II vs QLB type III, in caesarean delivery: A randomised study

et al. 2021

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Interfascial plane blocks are very common regional anaesthesia techniques used for postoperative analgesia, and they have become highly diversified with the development of ultrasonography technologies and the introduction of this technology into anaesthesia practice. 1 The best known and first described techniques are the transversus abdominis plane (TAP) block and the ilioinguinal-iliohypogastric (II-IH) block. The efficacy of these blocks has been investigated in lower abdominal surgeries, such as caesarean delivery (CD). It has been shown that these blocks decrease pain scores and opioid consumption in the postoperative period in CD. 2,3

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Transversus abdominis plane and ilioinguinal/iliohypogastric blocks for cesarean delivery in a patient with type II spinal muscular atrophy

Cited by 8 publications

References 17 publications

Comparison of ultrasound‑guided iliohypogastric/ilioinguinal nerve block and transversus abdominis plane block for analgesia after cesarean section: A retrospective propensity match study

Comparison of ultrasound‑guided iliohypogastric/ilioinguinal nerve block and transversus abdominis plane block for analgesia after cesarean section: A retrospective propensity match study

Regional anesthesia in pediatric patients with preexisting neurological disease

Comparison of the analgesic effects of two quadratus lumborum blocks (QLBs), QLB type II vs QLB type III, in caesarean delivery: A randomised study

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