Ghosh Angan, Ninave Sanjot
Anaesthesia, Jawaharlal Nehru Medical College, Wardha, IND.
Cureus. 2023 Dec 26;15(12):e51119. doi: 10.7759/cureus.51119. eCollection 2023 Dec.
This comprehensive review explores the multifaceted role of the transversus abdominis plane (TAP) block in contemporary pain management. Beginning with a definition and historical evolution, the article elucidates the mechanism of action, emphasizing local anesthesia, interference with pain signal transmission, and its impact on visceral and somatic pain. The review systematically investigates the diverse indications for TAP block, ranging from its applications in various surgical procedures to postoperative pain management and chronic pain conditions. Noteworthy abdominal wall block variations, including rectus sheath block and quadratus lumborum block, underscore the adaptability of TAP block in diverse clinical scenarios. The implications for clinical practice highlight its pivotal role in enhancing recovery after surgery, reducing opioid reliance, and providing patient-centered care. Furthermore, the article outlines recommendations for further research, addressing ongoing trials, technological innovations, and potential expansions into non-surgical settings. In conclusion, TAP block emerges as a dynamic and indispensable tool in pain management, potentially redefining paradigms and optimizing patient outcomes across a spectrum of medical contexts.
这篇综述探讨了腹横肌平面(TAP)阻滞在当代疼痛管理中的多方面作用。文章从定义和历史沿革入手,阐明了其作用机制,重点介绍了局部麻醉、对疼痛信号传递的干扰及其对内脏痛和躯体痛的影响。该综述系统研究了TAP阻滞的多种适应证,从其在各种外科手术中的应用到术后疼痛管理及慢性疼痛病症。值得注意的腹壁阻滞变体,包括腹直肌鞘阻滞和腰方肌阻滞,凸显了TAP阻滞在不同临床场景中的适应性。对临床实践的启示强调了其在促进术后恢复、减少阿片类药物依赖及提供以患者为中心的护理方面的关键作用。此外,文章概述了进一步研究的建议,涉及正在进行的试验、技术创新以及向非手术环境的潜在拓展。总之,TAP阻滞成为疼痛管理中一个充满活力且不可或缺的工具,可能会重新定义模式并在一系列医疗环境中优化患者预后。