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

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.