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Ultrasound guided transversus abdominis plane block. Postoperative analgesia in children with spinal dysraphism

Eralp Çevikkalp1, Koray Erbüyün, Serpil Erbüyün

  • 1Department of Anesthesiology and Reanimation, Faculty of Medicine, Manisa Celal Bayar University, Manisa, Turkey. E-mail. eralpcevikkalp@hotmail.com.

Saudi Medical Journal
|January 15, 2018
PubMed

Insights

Pediatric regional anesthesia, like epidural or caudal blocks, manages surgical pain. Ultrasound-guided transversus abdominis plane block offers an alternative when central neuraxial blockade is contraindicated due to spinal issues.

Area of Science:

  • Anesthesiology
  • Pediatric Surgery
  • Pain Management

Background:

  • Pediatric regional anesthesia effectively manages postoperative pain after abdominal surgery.
  • Common methods include lumbar epidural and caudal blocks.
  • Central neuraxial blockade has contraindications, including clotting disorders and spinal abnormalities.

Observation:

  • This study examined 5 pediatric cases undergoing major abdominal surgery.
  • Central neuraxial blockade was not feasible due to pre-existing spinal abnormalities.
  • Ultrasound-guided transversus abdominis plane (TAP) block was considered as an alternative.

Findings:

  • Ultrasound-guided TAP block provides a viable regional anesthesia option for pediatric patients.
  • This technique is suitable when central neuraxial blockade is contraindicated.
  • It allows for effective pain management in complex pediatric surgical cases.

Implications:

  • Ultrasound-guided TAP block expands anesthetic options for pediatric abdominal surgery.
  • It offers a safer alternative for patients with spinal contraindications.
  • This technique can improve postoperative pain control and recovery in specific pediatric populations.

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