We carried out a prospective service evaluation of the quality of pain control after preoperative transverse abdominis plane (TAP) block in 100 children undergoing abdominal surgery. Data were collected on type of procedure, age, weight, level of the block, local anesthetic used, additional analgesia, and hourly pain scores. Of the 100 patients, 87 were included in the evaluation, 77% of who were less than 1 year old. Adequate pain relief was achieved in 93% of all patients. Almost half (47%) of our patients did not require intravenous (IV) opioids in the postoperative period and 27% did not need any IV opioids at all. Our results confirm the good quality of perioperative analgesia achieved with a TAP block as part of a multimodal approach in children undergoing abdominal surgery. Depending on the patient's age and the type of procedure, a TAP block may eliminate the need for IV opioids.
Bloqueo del plano transverso del abdomen: ¿Listo para ser utilizado en pediatría?
Transversus abdominis blockade: Ready for use in the pediatric population? (Editorial).
David P. Martin, MD, Joseph D. Tobias, MD
Anaesth Pain & Intensive Care 2012; 16(2)
Postoperative pain and the associated potential adverse effects have been a major concern for the anesthesiologists since the advent of the practice of anesthesiology. The optimal means of providing postoperative analgesia in the pediatric patient has been a challenging task, and various combinations have been tried to lessen the side effects. Regional techniques in pediatric population have seen some crests in popularity in the past but the use of ultrasound and MRI guidance has added precision in the techniques and boosted confidence of the anesthesiologists. Transversus abdominis plane or TAP block has now made its way into the pediatric population and this editorial provided a supplementary source of information to the a review article and two case reports on similar topic in this issue of Anesthesia, Pain & Intensive Care.
Bloqueo del plano transverso del abdomen en pediatría. No solo una técnica para adultos
Ultrasound guided transversus abdominis plane (TAP) block in pediatric patients: not only a regional anesthesia technique for adults
Dario Galante, MD, Marco Caruselli, MD, Francesco Dones, MD, Salvatore Meola, MD, Gianluca Russo, MD, Giuseppe Pellico, MD, Antonio Caso, MD, Massimo Lambo, MD, Flora Donadei, MD, Giuseppe Mincolelli, MD
Anaesth Pain & Intensive Care 2012; 16(2): 201-204
The transversus abdominis plane (TAP) block is a relatively simple technique that provides myocutaneous anesthesia that, as part of a multimodal analgesic treatment, may be useful in the prevention and treatment of parietal postoperative pain. Initial experience with ultrasound TAP block demonstrated efficacy of the echoguided technique in different surgical procedures such as cesarean section, appendicectomy, laparoscopic cholecystectomy, infra umbilical surgery in adult and pediatric patients. Recently published clinical trials suggest that TAP block may represents an effective alternative to epidural anesthesia but further studies in larger population are necessary.