Clinical Implications of the Transversus Abdominis Plane Block in Adults

The transversus abdominis plane (TAP) block is a relatively new regional anesthesia technique that provides analgesia to the parietal peritoneum as well as the skin and muscles of the anterior abdominal wall. It has a high margin of safety and is technically simple to perform, especially under ultra...

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Main Authors: Mark J. Young, Andrew W. Gorlin, Vicki E. Modest, Sadeq A. Quraishi
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Anesthesiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/731645
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author Mark J. Young
Andrew W. Gorlin
Vicki E. Modest
Sadeq A. Quraishi
author_facet Mark J. Young
Andrew W. Gorlin
Vicki E. Modest
Sadeq A. Quraishi
author_sort Mark J. Young
collection DOAJ
description The transversus abdominis plane (TAP) block is a relatively new regional anesthesia technique that provides analgesia to the parietal peritoneum as well as the skin and muscles of the anterior abdominal wall. It has a high margin of safety and is technically simple to perform, especially under ultrasound guidance. A growing body of evidence supports the use of TAP blocks for a variety of abdominal procedures, yet, widespread adoption of this therapeutic adjunct has been slow. In part, this may be related to the limited sources for anesthesiologists to develop an appreciation for its sound anatomical basis and the versatility of its clinical application. As such, we provide a brief historical perspective on the TAP block, describe relevant anatomy, review current techniques, discuss pharmacologic considerations, and summarize the existing literature regarding its clinical utility with an emphasis on recently published studies that have not been included in other systematic reviews or meta-analyses.
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spelling doaj-art-390cb160aaec421381e0f6abe3c26eb72025-02-03T05:46:18ZengWileyAnesthesiology Research and Practice1687-69621687-69702012-01-01201210.1155/2012/731645731645Clinical Implications of the Transversus Abdominis Plane Block in AdultsMark J. Young0Andrew W. Gorlin1Vicki E. Modest2Sadeq A. Quraishi3Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USADepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA 02115, USADepartment of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USADepartment of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USAThe transversus abdominis plane (TAP) block is a relatively new regional anesthesia technique that provides analgesia to the parietal peritoneum as well as the skin and muscles of the anterior abdominal wall. It has a high margin of safety and is technically simple to perform, especially under ultrasound guidance. A growing body of evidence supports the use of TAP blocks for a variety of abdominal procedures, yet, widespread adoption of this therapeutic adjunct has been slow. In part, this may be related to the limited sources for anesthesiologists to develop an appreciation for its sound anatomical basis and the versatility of its clinical application. As such, we provide a brief historical perspective on the TAP block, describe relevant anatomy, review current techniques, discuss pharmacologic considerations, and summarize the existing literature regarding its clinical utility with an emphasis on recently published studies that have not been included in other systematic reviews or meta-analyses.http://dx.doi.org/10.1155/2012/731645
spellingShingle Mark J. Young
Andrew W. Gorlin
Vicki E. Modest
Sadeq A. Quraishi
Clinical Implications of the Transversus Abdominis Plane Block in Adults
Anesthesiology Research and Practice
title Clinical Implications of the Transversus Abdominis Plane Block in Adults
title_full Clinical Implications of the Transversus Abdominis Plane Block in Adults
title_fullStr Clinical Implications of the Transversus Abdominis Plane Block in Adults
title_full_unstemmed Clinical Implications of the Transversus Abdominis Plane Block in Adults
title_short Clinical Implications of the Transversus Abdominis Plane Block in Adults
title_sort clinical implications of the transversus abdominis plane block in adults
url http://dx.doi.org/10.1155/2012/731645
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