Schönfeld S
Departement für Anästhesie, Spitalregion Rheintal Werdenberg Sarganserland, Spitalstr. 44, 9472 Grabs, Schweiz.
Anaesthesist. 2013 May;62(5):389-91. doi: 10.1007/s00101-013-2171-0. Epub 2013 May 10.
The transversus abdominis plane (TAP) block is a well known method for postoperative pain control after abdominal surgery. From an anatomical and physiological point of view it should be possible to perform abdominal wall surgery, e.g. wound debridement, using a TAP block only. To the authors knowledge no studies have been published with respect to the use of TAP only. This article presents a case report demonstrating that it is possible to perform three consecutive operation procedures within 7 days using only a bilateral TAP catheter technique. The TAP block without any co-medication provides high patient comfort and should be recognized as a good alternative for abdominal wall surgery.
腹横肌平面(TAP)阻滞是腹部手术后控制术后疼痛的一种众所周知的方法。从解剖学和生理学角度来看,仅使用TAP阻滞进行腹壁手术,例如伤口清创术,应该是可行的。据作者所知,尚未发表关于仅使用TAP阻滞的研究。本文介绍了一例病例报告,表明仅使用双侧TAP导管技术在7天内进行连续三次手术操作是可行的。不使用任何辅助药物的TAP阻滞能为患者提供高度舒适感,应被视为腹壁手术的一种良好替代方法。