University of Kutahya Health Sciences, Medical Scholl, Department of Emergency Medicine, Kutahya, Turkey.
Am J Emerg Med. 2020 Oct;38(10):2116-2118. doi: 10.1016/j.ajem.2020.07.014. Epub 2020 Jul 11.
In recent decades, regional plane blocks via ultrasonography have become very popular in regional anesthesia and are more commonly used in pain management. The transversus abdominis plane (TAP) block is a procedure where local anesthetics are applied to block the anterior divisions of the tenth thoracic intercostal through the first lumbar nerves (T10-L1) into the anatomic space formed amidst the internal oblique and transversus abdominis muscles located in the antero-lateral part of the abdomen wall. The most important advantage of this block method is that ultrasonographic identification is easier and its complications are fewer compared with central neuroaxial or paravertebral blocks. Here, we describe three cases where pain management in renal colic was treated with the TAP block.
近几十年来，经超声引导的区域平面阻滞在区域麻醉中变得非常流行，并且在疼痛管理中更常使用。腹横肌平面（TAP）阻滞是一种将局部麻醉剂应用于通过第一腰椎神经（T10-L1）阻滞第十胸椎肋间神经前支的方法，进入位于腹壁前外侧部分的内斜肌和腹横肌之间的解剖空间。与中枢神经轴或椎旁阻滞相比，这种阻滞方法的最重要优点是超声识别更容易，并发症更少。在这里，我们描述了三例 TAP 阻滞治疗肾绞痛的疼痛管理案例。
