Tap the Potential of Tap Block: A Schematic Representation
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 1
Abstract
ransversus abdominis plane (TAP) block is an abdominal or truncal field block. Its popularity has increased in the recent times, mainly because its widespread applicability in several abdominal surgeries and less incidence of complications. The advent of ultrasound (USG) has revolutionised regional anaesthesia, in general and TAP blocks, in particular. There are various types of TAP block which can be utilised in various abdominal surgeries for effective analgesia, especially after caesarean sections. This article aims to elucidate in a pictorial format, the nerves traversing the TAP plane (Figure 1), the nerve supply of the abdominal wall (Figure 2), the various positions of TAP block (Figure 3) and the sono-anatomy of the USG-guided TAP block (Figure 4). The potential of this block is tremendous and can be useful in patients with coagulopathies, where epidural block is contraindicated. With improved accuracy of USG-guidance, the volume of local anaesthetic injected has also been reduced, bringing down the toxicity rates. Various adjuvants can also be added to local anesthetics for improving efficacy and duration of analgesia with TAP blocks. It is an analgesic boon in the era of minimally-invasive surgeries, especially laparoscopic and robotic surgeries.
Authors and Affiliations
Uma Hariharan
Keywords
Related Articles
- EP ID EP524178
- DOI 10.21088/ijaa.2349.8471.5118.1
- Views 93
- Downloads 0
Evaluation of Low Dose Dexmeditomedine as an Adjuvant to Bupivacaine 0.25% in Supraclavicular Brachial Plexus Blocks
Context: The assessment of the efficacy of low dose (30 micrograms) of dexmeditomedine added to 0.25% bupivacaine was studied for the prolongation of the duration of sensory and motor block in supraclavicular brachial pl...
Pain on Injection: Comparison between Propofol LCT vs Propofol MCT-LCT
Background and Aims: Propofol is widelyused for induction andmaintenance of anaesthesia. It has the disadvantage of causing sharp pain on injection which can interfere with smooth induction of anaesthesia. The aim of the...
Anaesthetic Management of a Patient with Apert Syndrome
Introduction: Apert syndrome is a type of acrocephalosyndactilia that includes several abnormalities. Number of coexisting conditions should be taken under consideration while giving anaesthesia. We report our experience...
To Compare and Evaluate Hemodynamic Effect of Propofol and Etofol as Induction Agents in Elective Surgeries
Introduction: Various intravenous induction agents like propofol, ketamine and etomidate are available now a day to the anaesthetist but they also cause attenuation of axis leading to a decrease in heart rate and blood p...
Efficacy of Epidural Steroids Injections for Treatment of Chronic Low Backache Patients
Background: Low Back Pain (LBP) is the leading cause of disability in adults. Aetiology of low back pain is usually multi factorial [1]. The aim of this study is to assess the effectiveness of epidural steroid injection...