Continuous oblique subcostal transversus abdominis plane block: an alternative for pain management after upper abdominal surgery in children

2011 ◽  
Vol 21 (9) ◽  
pp. 982-983 ◽  
Author(s):  
François-Pierrick Desgranges ◽  
Mathilde De Queiroz ◽  
Dominique Chassard
2009 ◽  
Vol 37 (3) ◽  
pp. 469-472 ◽  
Author(s):  
M.J. Fredrickson ◽  
P. Seal

This paper describes four neonates having abdominal procedures with intraoperative and early postoperative analgesia provided by a transversus abdominis plane regional block. Analgesia for neonatal upper and midabdominal surgery usually involves regional anaesthesia and/or systemic opioid. All these analgesia techniques have problems specific to the neonatal period. Neonates are sensitive to the respiratory depressant effects of systemic opioid, while the low threshold for local anaesthetic toxicity limits regional anaesthesia/analgesia, which in neonatal upper abdominal surgery is often limited to local anaesthetic infiltration. The transversus abdominis plane block has been shown to provide effective analgesia following a variety of abdominal surgeries in both adults and children. We report four neonates who underwent minor or major abdominal surgery under general anaesthesia supplemented by ultrasound-guided transversus abdominis plane block. Perioperative opioids were administered to one neonate who required postoperative ventilation. Ultrasound-guided transversus abdominis plane bock is a technically feasible alternative to local anaesthetic wound infiltration in the neonate and warrants further evaluation.


2021 ◽  
Vol 67 (3) ◽  
pp. 137-142
Author(s):  
Mihaela Butiulca ◽  
Alexandra Lazăr

Abstract Objective: The aim of the study is the assessment of the analgesic efficacy of transversus abdominis plane block in patients undergoing general abdominal surgery. Methods: Pubmed, Scopus, and Medline databases were searched for papers evaluating the effect of transversus abdominis plane block. The primary and secondary outcomes of the studies were analyzed. Results: A total of 10 studies were analyzed, including 717 patients. Studies revealed that transversus abdominis plane block was associated with significantly reduced postoperative discomfort and reduced opioid consumption. Conclusion: The present study shows the clear benefit brought by the transversus abdominis plane block as part of multimodal analgesia, with a significant reduction of pain and higher comfort scores.


2000 ◽  
Vol 24 (5) ◽  
pp. 512-517 ◽  
Author(s):  
Ching-Tang Wu ◽  
Jyh-Cherng Yu ◽  
Sy-Tzu Liu ◽  
Chun-Chang Yeh ◽  
Chi-Yuan Li ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document