AlGhamdi Faris, AlSuhebani Mohammad, Tobias Joseph D
Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA.
Department of Pediatric Anesthesiology and Pain Medicine, King Abdullah Specialist Children Hospital, Riyadh, Kingdom of Saudi Arabia.
Saudi J Anaesth. 2019 Oct-Dec;13(4):377-380. doi: 10.4103/sja.SJA_433_19.
The transversus abdominis plane (TAP) block is a peripheral nerve block that was originally described in 2001. Considering the sensory distribution of the TAP block, which does not provide visceral anesthesia, it has been used primarily for postoperative analgesia. We present the use of a TAP block as the sole anesthetic for placement of a cutaneous vesicostomy in a 4-year-old child with multiple comorbid conditions. The basic principles of the TAP block are presented, and its previous use instead of general in various clinical scenarios is reviewed.
腹横肌平面(TAP)阻滞是一种外周神经阻滞,最初于2001年被描述。考虑到TAP阻滞的感觉分布,它不提供内脏麻醉,主要用于术后镇痛。我们介绍了在一名患有多种合并症的4岁儿童中使用TAP阻滞作为皮肤膀胱造瘘术的唯一麻醉方法。本文介绍了TAP阻滞的基本原理,并回顾了其在各种临床场景中替代全身麻醉的既往应用情况。