Rectus Sheath and Transversus Abdominis Plane (TAP) Blocks

摘要: In the pediatric population, caudal epidural anesthesia has been mainstay of providing pain control for gastrointestinal and abdominal surgeries. However, increased prevalence ultrasound allowed more practitioners to administer targeted nerve blocks these Pain following surgery is largely derived from wall incision; ultrasound-guided rectus sheath transversus abdominis plane (TAP) have proven beneficial controlling this while reducing risks, side effects, effort that associated with blockade. The block generally used any midline incisions (i.e., umbilical epigastric hernia repairs) valuable in outpatient setting. aim during deposit local anesthetic between muscle posterior sheath. If longer-duration analgesia desired, a catheter can be inserted. Similarly, TAP are nerves supplying anterior commonly procedures such as bowel resection, appendectomy, renal transplant. As blocks, catheter(s) placed either by guidance or direct vision surgeon achieve longer-lasting analgesia. Landmark- approaches described chapter.