Transversus abdominis plane block

Jayakumar, Divya; Janarthanan, C.; Aziz, A.; Ahmed-Nusrath, Anjum

doi:10.1016/j.tacc.2011.01.014

Cited by 8 publications

(14 citation statements)

References 38 publications

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“…The original description of the abdominal field block by Rafi was a landmark-based method, which was via the inferior lumbar triangle of Petit. [ 2 ] Although easy to perform, the landmark technique has several shortcomings. The inferior lumbar triangle of the Petit is not always present in all the individuals and its anatomical location may be inconsistent.…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 ] Parietal pain is the chief component of postoperative pain after abdominal surgeries. [ 2 ] Large doses of opioids are required to mitigate this pain, but they are poorly tolerated. [ 3 ] Multimodal analgesia is effective in handling postoperative pain and in attenuating the side effects of large doses of a single analgesic.…”

Section: Introductionmentioning

confidence: 99%

“…The TAP block, first described by Rafi in 2001, is comprised of deposition of a local anesthetic into the anatomical plane between the internal oblique and transverses abdominis muscles, where the thoracoabdominal nerves (T 6 -L 1 ) contribute to the main sensory supply of the skin, muscles, and parietal peritoneum of the anterior abdominal wall. [ 2 4 5 ] These nerves branch and communicate extensively with each other in the TAP. [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of transversus abdominis plane block in patients undergoing emergency laparotomies

et al. 2014

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Background:Pain experienced following laparotomy is largely due to abdominal wall incision. Effective mitigation of this pain is vital to improve patient satisfaction and for early ambulation. We evaluated the efficacy of transversus abdominis plane (TAP) block for postoperative analgesia, as a component of multimodal analgesia.Materials and Methods:Sixty adult ASA physical status I to III patients undergoing emergency laparotomy under general anesthesia were recruited for this double-blind, randomized, controlled trial. The TAP block was performed before skin incision, using the double pop technique in the midaxillary line, at the level of the umbilicus with a 22 gauge blunt needle. The patients were randomly assigned to receive either 25 ml of 0.25% bupivacaine or normal saline (NS), bilaterally. Tramadol was used for postoperative analgesia via a patient-controlled analgesia pump (PCA) along with an intramuscular (IM) injection of diclofenac sodium, 12-hourly. Each patient was assessed in the Post Anesthesia Care Unit (PACU) immediately after shifting and every two hours thereafter, for 24 hours, for pain, nausea, sedation scores, and pruritus. The two-hourly and total tramadol consumption, over 24 hours, was assessed.Results:The mean total pain scores were significantly less in the TAP block group (48.07 ± 6.76) when compared to the control group (62.63 ± 6.66). The total tramadol consumption was decreased by 36% in the TAP block group (281.33 ± 69.66 mg) compared to the control group (439 ± 68.59 mg). Tramadol consumption measured every two hours was also less up to 18 hours postoperatively, after which, there was an increase in pain scores and tramadol consumption in the TAP block group. There was no statistically significant difference between the two groups in terms of nausea, vomiting, sedation or pruritis.Conclusion:TAP block is an effective component of the multimodal analgesia regimen for reducing postoperative pain and opioid requirement after emergency laparotomy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy of transversus abdominis plane block in patients undergoing emergency laparotomies

et al. 2014

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“…Several randomized clinical studies have been carried out which have proven the safety and efficacy of cautery in subcutaneous and muscle layer but its use in making skin incision is still controversial. Few studies have proven cautery as the safe and most effective as compared to scalpel in term of blood loss, time taken for making incision, early post-operative pain and analgesic requirement, cosmetic effects and wound infection 1,6,9,12,13,[17][18][19] . The earlier concept of devitalisation within well hydrated tissues with the use electrosurgery was negated when this technique was experimented in reconstructive and cosmetic faciomaxillary surgery, paediatric surgery, rhitidoplasty and blepheroplasty by Peterson, Mann and Klippel, Kamer and Tabin respectively with different other studies which proved minimum scarring and excellent cosmetic results of diathermy over scalpel use [20][21][22][23] .…”

Section: Resultsmentioning

confidence: 99%

“…1 Midline incision is the mostly preferred route by the surgeons as it permits rapid access to look all the intraperitoneal visceras and enter retroperitoneal structures if required [2][3][4] . Postsurgical pain is the most commonly observed complaint of the patients undergoing abdominal incision which involves parietal peritoneum [5][6] . Conventionally skin incisions have been made with the help of scalpel for long time, but these incisions result potential tissue damage with blood loss and immediate post-operative pain which leads to more morbidity.…”

Section: Introductionmentioning

confidence: 99%

Mean Post Operative Pain Score in Midline Laparotomy Incisions Made using Scalpel VS Monopolar Diathermy

Farooque¹,

Ahmad²,

Kumar³

2019

J Liaquat Uni Med Health Sci

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OBJECTIVE: To compare mean post-operative pain score in midline laparotomy incisions made using scalpel versus mono-polar diathermy. METHODOLOGY: Present study was Randomized Controlled trial conducted at Department of Surgery, Dr. Ruth Katherina M. Pfau Civil Hospital Karachi from July 2016 to June 2017. A total 80 patients were randomly divided in two equal groups. Group A patients underwent exploratory laparotomy with scalpel with disposable blade while Group B with monopolardiathermy in cutting mode. Postoperatively pain score was measured using Visual Analogue Scale. RESULTS: Mean age was 31.45±9.69. Mean pain score on post operative day 1 was 8.60±0.92 in group A (Scalpel) and 5.98±0.26 in group B (Diathermy). Mean pain score on day 2 and 3 was 7.25±0.8 vs 3.80±0.9 and 5.5±0.6 vs 2.7±0.8 in group A and B respectively. P-value was found to less than 0.001 and therefore greatly significant. CONCLUSION: The findings of this study show that incision made by diathermy is safe and effective in terms of post-operative pain as compared to scalpel incision.

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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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Transversus abdominis plane block

Cited by 8 publications

References 38 publications

Efficacy of transversus abdominis plane block in patients undergoing emergency laparotomies

Efficacy of transversus abdominis plane block in patients undergoing emergency laparotomies

Mean Post Operative Pain Score in Midline Laparotomy Incisions Made using Scalpel VS Monopolar Diathermy

Regional Anesthetic Blocks in Plastic Surgery Using Portable Ultrasound

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