Scharine John D
Thedacare Physicians, Shawano Medical Center, Shawano, Wisconsin, USA.
AANA J. 2009 Apr;77(2):98-102.
These 2 case reports describe the use of transversus abdominis plane (TAP) nerve blocks for analgesia following emergency cesarean delivery. Bilateral single shot TAP blocks provided prolonged and extremely effective analgesia. Patients displayed early oral intake, early ambulation, and low pain scores. No postoperative narcotics were used by either patient throughout their hospital stay. A technique for TAP blocks is described with discussion of risks and suggested uses.
这2例病例报告描述了剖宫产术后使用腹横肌平面(TAP)神经阻滞进行镇痛的情况。双侧单次TAP阻滞提供了长时间且极为有效的镇痛效果。患者表现出早期经口进食、早期活动,且疼痛评分较低。两名患者在整个住院期间均未使用术后镇痛药。文中描述了TAP阻滞技术,并讨论了风险及建议的应用情况。