Transversus Abdominis Plane Block: A New Gold Standard for Abdominal Surgery?
| Autor: | Germano De Cosmo, Flaminio Sessa, E. Congedo, Federico Fiorini |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty business.industry medicine.medical_treatment Colorectal surgery Surgery Endocrine surgery 03 medical and health sciences Plastic surgery 0302 clinical medicine 030202 anesthesiology Transversus Abdominis Plane Block Anesthesia medicine Post-anesthesia care unit 030212 general & internal medicine business Trauma surgery Abdominal surgery |
| Zdroj: | Journal of Anesthesia and Critical Care: Open Access. 4 |
| ISSN: | 2373-6437 |
| Popis: | Transversus abdominis plane (TAP) block is a technique of peripheral nerve block for abdominal anterior wall and in past years several authors demonstrated its efficacy and role in multimodal analgesia for various surgeries. Introduction of ultrasound-guided technique provided to more safety and easiness to realize this block after an adequate training, with description of few complications. Scarcity of contraindications makes this technique applicable in a large number of patients, whereas epidural analgesia is not recommended. Evolution of this block, with the possibility of using continuous infusion catheters, allows a longer and more effective control of postoperative pain after abdominal surgeries, with less respiratory and cardiovascular complications, a more comfortable recovery of patients and a consequent reduction of length hospital stay and costs, in line to Enhanced Recovery After Surgery (ERAS) pathways. Promotion and application of TAP block are to be encouraged in daily clinical practice to meliorate pain control, patient satisfaction and a fast recovery. |
| Databáze: | OpenAIRE |
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