Ultrasound guided transversus abdominis plane block in infants, children and adolescents: A simple procedural guidance for their performance

Santhanam Suresh*, Vincent W S Chan

*Corresponding author for this work

Research output: Contribution to journalReview article

89 Scopus citations

Abstract

The transversus abdominis plane block (TAP) has been described recently for pain management following abdominal surgery. Although many techniques have been described using anatomical landmarks, a simple ultrasound (US) guidance technique for the block has not been described in children. An article published by Hebbard and colleagues on the use of US-guidance for TAP blocks described the technique with the probe positioned at the midaxillary line with a needle insertion that is located further medial on the abdominal wall. This technique, although feasible in adults is not possible in children due to the need for obtaining a more thorough spread of the local anesthetic solution. We describe in this article, a user-friendly approach to the placement of a TAP block in infants, children and adolescents. Further pharmacokinetic data has to be obtained for actual dosing for these blocks in infants and children.

Original languageEnglish (US)
Pages (from-to)296-299
Number of pages4
JournalPaediatric Anaesthesia
Volume19
Issue number4
DOIs
StatePublished - Apr 1 2009

Keywords

  • Analgesia
  • Infants
  • Pediatric
  • Transversus abdominis plane
  • Ultrasound guidance

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Pediatrics, Perinatology, and Child Health

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