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Transversus Abdominis Plane Block in the Emergency Department for Paracentesis: A Case Report
Mit Patel1, Arqam Husain2, Revelle Gappy2
1Emergency Medicine, University of South Florida, Tampa, USA.
Cureus
|May 5, 2026
Summary
Ultrasound-guided transversus abdominis plane (TAP) blocks offer effective pain relief for abdominal paracentesis in cirrhosis patients, reducing opioid use and improving procedural tolerance. This regional anesthesia technique enhances patient comfort and procedural management in the emergency department.
Area of Science:
- Anesthesiology
- Gastroenterology
- Emergency Medicine
Background:
- Abdominal paracentesis is crucial for diagnosing and treating ascites in cirrhosis patients.
- Pain during paracentesis, especially with peritonitis, necessitates effective analgesia.
- Conventional local anesthetic infiltration may be insufficient for significant pain management.
Keywords:
pain managementparacentesisperitonitisregional anesthesiasbptap blocktransversus abdominis plane blockultrasound
