Nakahari Hirofumi, Takahashi Tomoyo, Miki Hayato, Yamaguchi Akihiko
Anesthesiology, St. Luke's Hospital, Tokyo, JPN.
Cureus. 2024 Jul 23;16(7):e65219. doi: 10.7759/cureus.65219. eCollection 2024 Jul.
Modified thoracoabdominal nerve block through the perichondrial approach (M-TAPA) is a novel strategy for peripheral nerve block in the abdomen. Its usefulness has been highlighted in adults, but no literature is currently available regarding its efficacy in infants. This report describes the cases of a one-day-old neonate in open abdominal surgery and a one-month-old infant in laparoscopic surgery who received M-TAPA. The postoperative condition of the infants was assessed through a neonate pain scale and the Face, Legs, Activity, Cry, and Consolability behavioral scale, respectively; both scales remained at 0 until discharge. Despite the need for special attention, M-TAPA may provide effective analgesia in neonatal and infant abdominal surgery in addition to adult cases, and its indications should be considered.
经软骨膜途径改良胸腹神经阻滞（M-TAPA）是一种用于腹部周围神经阻滞的新策略。其在成人中的效用已得到凸显，但目前尚无关于其在婴儿中疗效的文献。本报告描述了一名接受M-TAPA的1日龄新生儿行开腹手术以及一名1月龄婴儿行腹腔镜手术的病例。分别通过新生儿疼痛量表和面部、腿部、活动、哭闹及安慰行为量表对婴儿术后状况进行评估；直至出院，两个量表评分均保持为0。尽管需要特别关注，但M-TAPA除了可用于成人病例外，在新生儿和婴儿腹部手术中也可能提供有效的镇痛效果，应考虑其适应证。
