The effect of ultrasound‐guided transversus abdominis plane (TAP) block on postoperative analgesia and neuroendocrine stress response in pediatric patients undergoing elective open inguinal hernia repair

Abstract

TAP block is effective as a part of multimodal analgesia for children undergoing open inguinal hernia repair with significant attenuation in the neuroendocrine stress response induced by surgery.

Effect of Transversus Abdominis Plane Block on Postoperative Pain after Colorectal Surgery: A Meta-Analysis of Randomized Controlled Trials

“…This meta-analysis suggested that TAP block significantly reduced pain intensity during PAR after CRS both at rest and during movement; however, it only reduced pain 24 h after surgery during movement but not at rest. Similar pain relief has been reported for other abdominal surgeries [19,22]. A clinical trial conducted by Røjskjaer et al [22] suggested that TAP block significantly reduced pain intensity 8 h after abdominal hysterectomy.…”

“…TAP block has been proven to be effective for the reduction of postoperative pain intensity after lower abdominal surgery under the umbilicus, especially within 24 h after surgery [19][20][21]. This meta-analysis suggested that TAP block significantly reduced pain intensity during PAR after CRS both at rest and during movement; however, it only reduced pain 24 h after surgery during movement but not at rest.…”

“…Several explanations have been put forward for the ineffectiveness of TAP block in CRS. First, according to the results of a magnetic resonance imaging study and a cadaver study [19][20][21], TAP block produced a block of sensory dermatomes from T 10 to L 1 , which represented a region of the lower abdomen under the umbilicus; however, it did not cover the region of the upper abdomen. Two studies reported that an incision was produced in the upper abdomen for right colectomy, and TAP block did not work effectively in patients undergoing right colectomy [12,14].…”

The European Society of Regional Anaesthesia and Pain Therapy/American Society of Regional Anesthesia and Pain Medicine Recommendations on Local Anesthetics and Adjuvants Dosage in Pediatric Regional Anesthesia

“…In addition, many LA dosing studies that have been performed in children often generated inconclusive results. [6][7][8][9][10] As a result of this large knowledge gap, ESRA and ASRA decided to convene a committee to look at an evidence-based approach to dosing guidelines in children.…”

Benefits of ultrasound-guided transversus abdominis plane block for open appendectomy in children

“…There have been reports that larger volume of the local anaesthetic (1-2 mL kg -1 ) may spread to the paravertebral space and extend a range of analgesia, providing partial exclusion of the painful stimuli from the viscera [9]. Previous research results mainly show that the TAP block decreases pain perception, reduces the requirement for analgesics in the postoperative period and increases time span from the end of the anaesthesia to the first dose of analgesics in children after abdominal surgery [3,10,11]. However, there are also individual reports which do not confirm this data [12,13].…”