Continuous Transversus Abdominis Plane Nerve Blocks

Continuous Transversus Abdominis Plane Nerve Blocks: Does Varying Local Anesthetic Delivery Method-Automatic Repeated Bolus Versus Continuous Basal Infusion-Influence

Cost-efficiency Analysis of USG-guided Transversus Abdominis Plane Blocks

Detrimental effects of poorly controlled acute pain after abdominal surgery range from patient suffering, distress, respiratory complications, delirium, myocardial ischaemia, prolonged hospital stay and an increased likelihood of chronic pain. Traditionally, patients undergoing major abdominal surgery have received systemic drugs, such as opioids, ketamine, nonsteroidal anti-inflammatory drugs ...

Should we stop doing blind transversus abdominis plane blocks?

BACKGROUND Any landmark-based regional anaesthetic technique raises two important issues. The first is the accuracy of placement of the needle and thus the local anaesthetic in a 'blind' technique and the second is the potential for damage to adjacent structures. We designed a prospective, blinded study in an adult general surgical population to evaluate with ultrasound the placement of the nee...

Transversus Abdominis Plane Versus Ilioinguinal and Iliohypogastric Nerve Blocks for Analgesia Following Open Inguinal Herniorrhaphy*

OBJECTIVES We hypothesized that preoperative (pre-op) ultrasound (US)-guided posterior transversus abdominis plane block (TAP) and US-guided ilioinguinal and iliohypogastric nerve block (ILI+IHG) will produce a comparable analgesia after Lichtenstein patch tension-free method of open inguinal hernia repair in adult men. The genital branch of the genitofemoral nerve will be blocked separately. ...

Transient Femoral Nerve Palsy Complicating “Blind” Transversus Abdominis Plane Block

We present two cases of patients who reported quadriceps femoris weakness and hypoesthesia over the anterior thigh after an inguinal hernia repair under transversus abdominis plane (TAP) block. Transient femoral nerve palsy is the result of local anesthetic incorrectly injected between transversus abdominis muscle and transversalis fascia and pooling around the femoral nerve. Although it is a m...