Subcostal Transverse Abdominis Plane Block for Acute Pain Management: A Review
Author(s) -
José Soliz,
Ian Lipski,
Shan HancherHodges,
B. Bryce Speer,
Keyuri Popat
Publication year - 2017
Publication title -
anesthesiology and pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.438
H-Index - 26
eISSN - 2228-7531
pISSN - 2228-7523
DOI - 10.5812/aapm.12923
Subject(s) - transverse plane , medicine , quadrant (abdomen) , block (permutation group theory) , local anesthetic , nerve block , pain management , surgery , anesthesia , anatomy , geometry , mathematics
The subcostal transverse abdominis plane (SCTAP) block is the deposition of local anesthetic in the transverse abdominis plane inferior and parallel to the costal margin. There is a growing consensus that the SCTAP block provides better analgesia for upper abdominal incisions than the traditional transverse abdominis plane block. In addition, when used as part of a four-quadrant transverse abdominis plane block, the SCTAP block may provide adequate analgesia for major abdominal surgery. The purpose of this review is to discuss the SCTAP block, including its indications, technique, local anesthetic solutions, and outcomes.
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