Transversus Abdominis Plane Block in a Patient with Debilitating Pain from an Abdominal Wall Hematoma Following Cesarean Delivery

Randall, Ian; Costello, J; Carvalho, José Carlos Almeida

doi:10.1213/ane.0b013e318170baf3

Cited by 24 publications

(12 citation statements)

References 2 publications

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“…Flank haematoma, liver and bowel injury and failed blocks have all been previously reported in women undergoing this regional analgesic procedure. [19][20][21][22][23] The use of ultrasound guidance to place the block as opposed to the 'pop' technique initially described for this procedure may reduce the risks of complications. However, given the limited number of series examining this technique, this has not been formally tested.…”

Section: Discussionmentioning

confidence: 99%

The role of transversus abdominis plane blocks in women undergoing total laparoscopic hysterectomy: A retrospective review

Pather

Loadsman

Gopalan

et al. 2011

Australian and New Zealand Journal of Obstetrics and Gynaecology

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Section: Discussionmentioning

confidence: 99%

The role of transversus abdominis plane blocks in women undergoing total laparoscopic hysterectomy: A retrospective review

Pather

Loadsman

Gopalan

et al. 2011

Australian and New Zealand Journal of Obstetrics and Gynaecology

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“…258 The blocks provided excellent pain relief for 10 to 19 hours and prevented further escalation in IV opioid requirements. Isolated case reports have also described the successful application of TAP blocks for intractable incisional neuropathic pain 259 and pain from an abdominal wall hematoma 260 following cesarean delivery, as well as abdominal wall pain during pregnancy. 261 However, visceral pain will not be relieved by TAP blocks, and it is therefore important to determine the nature of pain (incisional or cramping) before proceeding.…”

Section: The Overall Role Of Truncal Blocks In Obstetric Patientsmentioning

confidence: 99%

Essentials of Our Current Understanding

Chin

McDonnell

Carvalho

et al. 2017

Regional Anesthesia and Pain Medicine

364

208

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Abdominal wall blocks rely on the spread of local anesthetic within musculofascial planes to anesthetize multiple small nerves or plexuses, rather than targeting specific nerve structures. Ultrasonography is primarily responsible for the widespread adoption of techniques including transversus abdominis plane and rectus sheath blocks, as well as the introduction of novel techniques such as quadratus lumborum and transversalis fascia blocks. These blocks are technically straightforward and relatively safe and reduce pain and opioid requirements in many clinical settings. The data supporting these outcomes, however, can be inconsistent because of heterogeneity of study design. The extent of sensory blockade is also somewhat variable, because it depends on the achieved spread of local anesthetic and the anatomical course of the nerves being targeted. The blocks mainly provide somatic analgesia and are best used as part of a multimodal analgesic regimen. This review summarizes the anatomical, sonographic, and technical aspects of the abdominal wall blocks in current use, examining the current evidence for the efficacy and safety of each.

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“…Similarly, TAP block has been used to treat pain due to an abdominal wall hematoma which developed 48 hours following caesarean section. [5] TAP block has been mostly used for the treatment of acute postoperative anterior abdominal wall pain following abdominal surgery. [1,6,7] This case is unique for the use of TAP block for postoperative prolonged pain and points that TAP block is a promising alternative anlagesia technique not just for acute pain but also for prolonged postoperative pain.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Guided TAP Block For The Treatment of Postoperative Prolonged Pain - An Alternative Approach

Ekmekçi¹,

Bengisun²,

Kazbek³

et al. 2012

Agri

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Transversus abdominis plane (TAP) block is a relatively new regional anesthesia technique in which T7-12 intercostal nerves, ilioinguinal and iliohypogastric nerves, and cutaneous branches of L1-3 nerves are blocked between the internal oblique and transversus abdominis muscles. This technique is mostly used for the treatment of acute postoperative pain following abdominal surgery. In this case report, we evaluate the usage of TAP block in prolonged pain following upper abdominal surgery.

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Transversus Abdominis Plane Block in a Patient with Debilitating Pain from an Abdominal Wall Hematoma Following Cesarean Delivery

Cited by 24 publications

References 2 publications

The role of transversus abdominis plane blocks in women undergoing total laparoscopic hysterectomy: A retrospective review

The role of transversus abdominis plane blocks in women undergoing total laparoscopic hysterectomy: A retrospective review

Essentials of Our Current Understanding

Ultrasound Guided TAP Block For The Treatment of Postoperative Prolonged Pain - An Alternative Approach

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