Ultrasound Guided TAP Block for Postoperative Analgesia After Abdominal Surgery.

Launched by ASSIUT UNIVERSITY · Nov 28, 2016

Keywords

ClinConnect Summary

The transversus abdominis plane (TAP) technique, originally described by involves injection of local anaesthetic in the plane between the internal oblique and transversus abdominis muscle layers, with the aim of anaesthetising the intercostal nerves supplying the abdominal wall. Initially, the block used surface landmarks of the triangle of Petit (latissimus dorsi posteriorly, external oblique superiorly, iliac crest inferiorly) and a double fascial 'pop' (loss of resistance) to guide placement of the local anaesthetic. More recently, ultrasonography has been used to guide the delivery of t...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • BMI\< 30kg/m2.
• • Age: 18-60 years.
• • Sex: both males and females.
• • ASA physical status: 1-II.
• • Operation: Abdominal laparotomy.
• Exclusion Criteria:
• • Patient refusal.
• • History of cardiac disease, psychological disorders, respiratory diseases including asthma, renal or hepatic failure.
• • Coagulation disorders.
• • Allergy to study medications.
• • Chronic use of pain medications.
• • Pregnancy.
• • Respiratory tract in-fection within the last 2 weeks.
• • Heavy smoker.
• • Histo-ry of abdominal surgery or trauma.