Providing effective perioperative analgesia with a unilateral Transversus Abdominis Plane (TAP) block in a patient with su- spected opioid allergies

نویسندگان

  • A. Joselyn
  • J. K. Goeller
  • T. Bhalla
  • G. Cambier
  • C. McKee
  • D. P. Martin
  • L. Governale
  • J. D. Tobias
چکیده

Regional analgesia is an excellent alternative for patients who may have contraindications to intravenous narcotics for perioperative analgesia. The transversus (TAP) block is a peripheral nerve block which can provide sustained abdominal wall analgesia for lower and middle abdominal surgery and offers an alternative to parenteral opioids in these situations. We report a patient with spastic quadriplegia who presented for a baclofen pump revision surgery and had a history of suspected intravenous narcotic allergies. A TAP block was used to provide postoperative analgesia. Its application in such clinical scenarios is discussed.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Ultrasound-guided transversus abdominis block as part of multimodal analgesia In comparison with systemic morphine during laparoscopic operations

Background Transversus abdominis plane (TAP) block is a regional anesthetic technique that blocks the abdominal wall neural afferents by introducing local anesthetic into the neurofascial plane between the internal oblique and transverses abdominis muscles. Randomized controlled trials have demonstrated the efficacy of TAP block as a component of a multimodal regimen, in providing postoperative...

متن کامل

Posterior Transversus Abdominis Plane (TAP) Catheters in Lower Abdominal Surgery

Objective: Single shot transversus abdominis plane (TAP) blocks have gained popularity as an analgesic tool after abdominal surgery. We present two cases where catheters were placed in the posterior transversus abdominis plane for providing continuous analgesia after lower abdominal surgery. Patient one was admitted for laparoscopy assisted left hemicolectomy and bilateral posterior catheters u...

متن کامل

Preemptive analgesic efficacy of ultrasound-guided transversus abdominis plane block in patients undergoing gynecologic surgery via a transverse lower abdominal skin incision

BACKGROUND The transversus abdominis plane block is recently described peripheral block to providing analgesia to the anterior abdominal wall. The goal of this study is to evaluate the analgesic efficacy of the ultrasound-guided transversus abdominis plane block (US-TAP block) in patients undergoing gynecologic surgery via a transverse lower abdominal skin incision. METHODS Thirty-two patient...

متن کامل

Transversus abdominis plane block versus perioperative intravenous lidocaine versus patient-controlled intravenous morphine for postoperative pain control after laparoscopic colorectal surgery: study protocol for a prospective, randomized, double-blind controlled clinical trial

BACKGROUND Despite the laparoscopic approach becoming the standard in colorectal surgery, postoperative pain management for minimally invasive surgery is still mainly based on strategies that have been established for open surgical procedures. Patient-controlled epidural and intravenous analgesia are considered standard postoperative analgesia regimens in colorectal surgery. Epidural analgesia ...

متن کامل

Treatment of Acute Flares of Chronic Pancreatitis Pain with Ultrasound Guided Transversus Abdominis Plane Block: A Novel Application of a Pain Management Technique in the Acute Care Setting

The use of transversus abdominis plane (TAP) block to provide either analgesia or anesthesia to the anterior abdominal wall is well described. The technique yields high analgesic effectiveness and is opioid sparing and potentially of long duration with reported analgesia lasting up to 36 hours. When compared to neuraxial analgesia, TAP blocks are associated with a lower incidence of hypotension...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2014