Four quadrant transversus abdominis plane block and continuous transversus abdominis plane analgesia: a 3-year prospective audit in 124 patients

Journal of Clinical Anesthesia
G NirajJohn Jameson

Abstract

Transversus abdominis plane (TAP) blocks have been reported to be an effective method of providing analgesia after abdominal surgery. To perform a prospective audit on the effectiveness of a novel technique of providing continuous transversus abdominis plane (TAP) analgesia in patients undergoing emergency and elective abdominal surgery. Prospective single center audit over a 3-year period. University hospital. One hundred twenty-four American Society of Anesthesiologists I to IV adult patients presenting for elective as well as emergency abdominal surgery in whom epidural analgesia was contraindicated or refused. Four quadrant TAP blocks and continuous TAP analgesia. Numerical rating scale pain scores at rest and on coughing, nausea scores, satisfaction scores, complications, frequency of analgesia failure, therapeutic failure with continuous TAP analgesia and opioid consumption. One hundred twenty-four patients who received continuous TAP analgesia were audited. This included 34 patients for elective open surgery, 36 patients for emergency laparotomy, and 54 patients who underwent elective laparoscopic colorectal surgery. Surgical incision was within the dermatomal limit of the block in 70% of the patients (88/124). Therapeut...Continue Reading

References

Feb 18, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·B F LevyT A Rockall
Sep 13, 2012·Pain Practice : the Official Journal of World Institute of Pain·Robert TaylorChristian C Apfel

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Citations

May 18, 2016·Pain Management·Matthew KohlerPaul D Weyker
Jan 30, 2019·Annals of Plastic Surgery·Christopher Homsy, John T Lindsey
Nov 16, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J XiaS A Rosen
Apr 27, 2018·Anesthesiology and Pain Medicine·Jose M SolizKeyuri Popat
Dec 12, 2017·BioMed Research International·Hsiao-Chien TsaiKung-Yen Chen

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