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 articlepeer-review

93 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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