Ultrasound guided blockade of thoracoabdominal nerves through perichondrial approach (TAPA) for postoperative analgesia in abdominal surgeries: case series

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dc.authorid0000-0003-1996-7505en_US
dc.authorid0000-0002-7776-109Xen_US
dc.contributor.authorTulgar, Serkan
dc.contributor.authorŞentürk, Özgür
dc.contributor.authorSelvi, Onur
dc.date.accessioned2024-07-12T21:00:26Z
dc.date.available2024-07-12T21:00:26Z
dc.date.issued2019en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractBackground and aims: Ultrasound guided (USG) ‘the blockade of ThoracoAbdominal nerves through Perichondrial Approach’(TAPA) is a new block we recently described. Its sensory block was reported between Th5-Th12 dermatomes from the mid-axillary line to mid-abdomen/sternum. The modification of TAPA (M-TAPA) was also effectively used in major abdominal surgeries. In this case series, we present TAPA and M-TAPA applied for postoperative analgesia in abdominal surgery patients. Methods: We performed TAPA and M-TAPA blocks unilaterally and bilaterally in abdominal surgery patients in our clinic after obtaining written informed consent. In M-TAPA, 20–30 mL of local anesthetic (LA) was applied interfascially between lower surface costochondral tissue and the upper fascia of the transversus abdominis muscle in the 9th and 10th midclavicular line. In TAPA, additional to this injection supplementary 10–20 mL of LA is applied between the upper surface of the condrium and the deep fascia of the external oblique muscle. Results: In 8 different operations, 4 patients had right, 9 patients had bilateral TAPA and 9 patients had M-TAPA. The types of surgery, ASA scores, 24-hour analgesic requirements, the numeric rating scale (NRS) scores followed for patients’ pain level are presented in table 1 and figure 1. The mean paracetamol and tramadol consumption were 2.36 ± 0.84 g/day 62.72 ± 49.29 mg/day respectively.en_US
dc.identifier.citationTulgar, S. Şentürk, Ö. ve Selvi, O. (2019). Ultrasound guided blockade of thoracoabdominal nerves through perichondrial approach (TAPA) for postoperative analgesia in abdominal surgeries: case series. Regional Anesthesia & Pain Medicine. 44, s. 224.en_US
dc.identifier.endpage224en_US
dc.identifier.startpage224en_US
dc.identifier.urihttp://dx.doi.org/10.1136/rapm-2019-ESRAABS2019.394
dc.identifier.urihttps://hdl.handle.net/20.500.12415/3375
dc.identifier.volume44en_US
dc.language.isoenen_US
dc.publisherRegional Anesthesia & Pain Medicineen_US
dc.relation.ispartofRegional Anesthesia & Pain Medicineen_US
dc.relation.publicationcategoryDiğeren_US
dc.rightsCC0 1.0 Universal*
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rights.urihttp://creativecommons.org/publicdomain/zero/1.0/*
dc.snmzKY09230
dc.titleUltrasound guided blockade of thoracoabdominal nerves through perichondrial approach (TAPA) for postoperative analgesia in abdominal surgeries: case seriesen_US
dc.typePresentation
dspace.entity.typePublication

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