Matsuda Chie, Tachibana Kazuya, Fujii Masashi, Kinouchi Keiko
Department of Anesthesia and Intensive Care, Osaka Medical Center and Research Institute for Maternal and Child Health, Izumi 594-1101.
Masui. 2013 Aug;62(8):924-8.
We retrospectively examined the transversus abdominis plane (TAP) block performed in 8 infants (range, 1-115 days) from July 2010 to March 2011. Ultrasound images clearly visualized the fascial plane between the transversus abdominis and the internal oblique muscle and it was possible to confirm proper administration of local anesthetics into the plane in all patients. Complications resulting from opioid overdose were noted in two cases. One infant required reintubation. Another infant developed delayed emergence from anesthesia. We should tailor the dose of systemic opioid, considering the fact that the simultaneous administration of nerve block and systemic opioids may cause sedation and respiratory depression in young infants.
我们回顾性研究了2010年7月至2011年3月期间对8例婴儿（年龄范围为1 - 115天）实施的腹横肌平面（TAP）阻滞。超声图像清晰显示了腹横肌与腹内斜肌之间的筋膜平面，并且能够确认所有患者局部麻醉药均正确注入该平面。有两例出现了阿片类药物过量导致的并发症。一名婴儿需要重新插管。另一名婴儿麻醉苏醒延迟。鉴于神经阻滞与全身性阿片类药物同时使用可能导致幼儿出现镇静和呼吸抑制，我们应调整全身性阿片类药物的剂量。
