Bilateral transversus abdominis plane block as a sole anesthetic technique in emergency surgery for perforative peritonitis in a high risk patient

Abstract

Although transversus abdominis plane (TAP) block is an effective way of providing analgesia in post-operative abdominal surgery patients; however, it can be considered as an anesthetic technique in high-risk cases for surgery. We report a case of a geriatric female with chronic obstructive pulmonary disease in the respiratory failure, hypotension, posted in an emergency with old perforation leading to peritonitis. The surgery was successfully conducted under bilateral TAP block, which was used as a sole anesthetic technique. TAP block can be considered as an anesthetic technique for abdominal surgery in moribund patients.

Treatment of Acute Flares of Chronic Pancreatitis Pain with Ultrasound Guided Transversus Abdominis Plane Block: A Novel Application of a Pain Management Technique in the Acute Care Setting

“…We have used TAP blocks successfully to treat the pain of acute flares of chronic pancreatitis despite the previous consideration of the blocks to be effective only for somatic pain ( Table 1 ). Initially we intended to alleviate the somatic component, the rebound and nonrebound abdominal wall tenderness [ 8 ], as there is at least one description of TAP block being used to provide analgesia for a patient with peritonitis [ 9 ], and the ability of the block to adequately anesthetize the abdominal wall [ 10 ]. The block, however, alleviated all components of pain in these patients.…”

Revision of loop colostomy under regional anaesthesia and sedation

“…This was mitigated by the dexmedetomidine infusion. (8) The combination of trunk blocks chosen in this case was based on knowledge of the anatomy of the abdominal wall in relation to the site of surgery, i.e. a colostomy in the left iliac fossa region.…”

Transversus abdominis plane block as a sole anesthetic technique for evacuation of rectus abdominis muscle hematoma - A case report -

“…The TAP block is performed by inserting a needle between the internal oblique muscle and the transversus abdominis muscle and injecting a local anesthetic solution. The TAP block has become multimodal postoperative analgesia for various abdominal surgeries [ 2 ]. However, only a few case reports have documented the use of a TAP block alone as a surgical anesthesia, and the anesthetic role of TAP blocks has not yet been clearly defined [ 3 ].…”