Ueshima Hironobu, Kubo Kozue, Sakamoto Sachiyo, Okamoto Akihisa, Onose Aki, Hatano Kiyohiko, Masuzawa Munehiro, Shingu Koh
Department of Anesthesiology, Kansai Medical University, Hirakata 573-1191.
Masui. 2013 Apr;62(4):439-41.
We report that the transversus abdominis plane block (TAP block) can be performed under ultrasound guidance using not a linear probe but a convex probe in a markedly obese patient undergoing laparoscopy-assisted distal gastrectomy. The TAP block is effective for providing perioperative analgesia. The common probe for the TAP block is a high-frequency linear probe, which can not depict the deeper tissues. We used a low-frequency convex probe for TAP block, which clearly showed the spread of local anesthetics in TAP block in a markedly obese patient. A convex probe is preferable for TAP block in markedly obese patients.
我们报告，在一名接受腹腔镜辅助远端胃切除术的极度肥胖患者中，腹横肌平面阻滞（TAP阻滞）可在超声引导下使用凸阵探头而非线阵探头进行。TAP阻滞对提供围手术期镇痛有效。TAP阻滞常用的探头是高频线阵探头，其无法显示更深层的组织。我们在TAP阻滞中使用了低频凸阵探头，其清晰显示了局部麻醉药在一名极度肥胖患者TAP阻滞中的扩散情况。对于极度肥胖患者，TAP阻滞使用凸阵探头更佳。
