Ultrasound-guided Transversus Abdominis Plane block: A Technically Easier Analgesic Option in Obese Compared to Epidural

Chaudhuri, Souvik and Goyal, Sham Sunder (2012) Ultrasound-guided Transversus Abdominis Plane block: A Technically Easier Analgesic Option in Obese Compared to Epidural. Anesthesia: Essays and Researches, 6 (2). pp. 226-228.

[img] PDF
no.1.pdf - Published Version
Restricted to Registered users only

Download (339kB) | Request a copy

Abstract

Ultrasound‑guided transversus abdominis plane (TAP) block is an extremely attractive alternative to the technically difficult epidural in obese patients. It provides adequate perioperative analgesia and reduces the opioid requirement. The use of ultrasound has enhanced the accuracy of local anaesthetic deposition in the plane between internal oblique and transversus abdominis, thereby blocking the spinal nerves more effectively and hence enhancing the efficacy of analgesia. We present a case of 65‑year‑old male patient weighing 96 kg who underwent umbilical hernia repair and had adequate perioperative pain relief after the ultrasound‑guided TAP block. Epidural analgesia planned for him was abandoned after we faced technical difficulty in securing the epidural, but the TAP block administered under ultrasound guidance ensured adequate pain relief perioperatively.

Item Type: Article
Uncontrolled Keywords: Epidural analgesia; Obese; Transversus abdominis plane block; Ultrasound guided
Subjects: Medicine > KMC Manipal > Anaesthesiology
Depositing User: KMC Manipal
Date Deposited: 11 Feb 2014 11:06
Last Modified: 11 Feb 2014 11:06
URI: http://eprints.manipal.edu/id/eprint/138771

Actions (login required)

View Item View Item