Ultrasound Blocks for the Anterior Abdominal Wall

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34 | Ultrasound Blocks for the Anterior Abdominal Wall structured and careful implementation of such techniques is performed (Marhofer 2010).
3. Transverse Abdominal Plexus Block | 35 3. Transverse Abdominal Plexus Block Zhirajr Mokini The block of transverse abdominal plexus (TAPB) provides effective analgesia when used as a part of multimodal analgesic strategies for abdominal surgery and in chronic pain. From the first description, several clinical trials have evaluated the TAPB for postoperative analgesia in a variety of procedures (Rafi 2001) Conceptually the TAPB is a compartmental block because the local anesthetic is deposited into the fascial plane between the internal oblique muscle and the transverse abdominal muscle. Cadaveric and radiological studies have demonstrated the deposition of the local anesthetic in the TAM plane (McDonnell 2007). Unlike the rectus sheath block (RSB), which targets only the midline, the TAPB targets the entire anterior-lateral abdominal wall (Rozen 2008). The extent of the block will depend on the puncture site and the volume of local anesthetic. The typical volume used for the TAPB is 20 to 30 ml each side. The maximum block extent is observed after 30 to 60 minutes and residual block may persist after 24 hours (Lee 2008). The block can be achieved both blindly and with the use of ultrasounds. Technical aspects of the TAPB and other blocks are showed in Table 6.1.
Page 1 and 2: the Flying Publisher Guide to Ultra
Page 3 and 4: Zhirajr Mokini Giovanni Vitale Amed
Page 5 and 6: | 5 Preface Somatic post-surgical p
Page 7 and 8: | 7 Savino Spadaro Department of Ex
Page 9 and 10: | 9 Table of Contents 1. Anatomy fo
Page 11 and 12: | 11 Pediatric Considerations......
Page 13 and 14: 1. Anatomy for Anesthesiologists |
Page 25 and 26: 2. Ultrasound and Regional Anesthes
Page 33: 2. Ultrasound and Regional Anesthes
Page 37 and 38: 3. Transverse Abdominal Plexus Bloc
Page 45 and 46: 4. Iliohypogastric and Ilioinguinal
Page 53 and 54: 5. Genitofemoral Nerve Block Zhiraj
Page 55 and 56: 5. Genitofemoral Nerve Block | 55 s
Page 57 and 58: 5. Genitofemoral Nerve Block | 57 p
Page 59 and 60: 5. Genitofemoral Nerve Block | 59 e
Page 61 and 62: 6. Rectus Sheath Block | 61 Figure
Page 63 and 64: 6. Rectus Sheath Block | 63 Table 6
Page 65 and 66: 7. Inguinal Hernia Repair Roberto F
Page 67 and 68: 7. Inguinal Hernia Repair | 67 comp
Page 69 and 70: 7. Inguinal Hernia Repair | 69 Ilio
Page 71 and 72: 8. Inguinal Surgery in Children Giu
Page 73 and 74: 8. Inguinal Surgery in Children | 7
Page 75 and 76: 9. Obstetric and Gynecologic Surger
Page 77 and 78: 9. Obstetric and Gynecologic Surger
Page 79 and 80: 10. Other Abdominal Surgery Procedu
Page 81 and 82: 10. Other Abdominal Surgery Procedu
Page 83 and 84: 11. Abdominal Midline Surgery Savin
Page 85 and 86:
12. Local Anesthetics, Pharmacokine
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
13. Complications | 91 13. Complica
Page 93 and 94:
13. Complications | 93 Peritoneal a
Page 95 and 96:
13. Complications | 95 Figure 13.2
Page 97 and 98:
14. References | 97 14. References
Page 99 and 100:
14. References | 99 Caetano AM, Fal
Page 101 and 102:
14. References | 101 Fredrickson M,
Page 103 and 104:
14. References | 103 Kark AE, Kurze
Page 105 and 106:
14. References | 105 (3) McDonnell
Page 107 and 108:
14. References | 107 Rankin G, Stok
Page 109 and 110:
14. References | 109 Toivonen J, Pe
Page 111 and 112:
15. Index | 111 15. Index Index abs
Page 113:
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Ultrasound Blocks for the Anterior Abdominal Wall

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