CASE REPORT
Year : 2019  |  Volume : 13  |  Issue : 4  |  Page : 377-380

Transversus abdominus blocks instead of general anesthesia in a child


1 Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA
2 Department of Pediatric Anesthesiology and Pain Medicine, King Abdullah Specialist Children Hospital, Riyadh, Kingdom of Saudi Arabia
3 Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital; Department of Anesthesiology and Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA

Correspondence Address:
Dr. Joseph D Tobias
Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, 700 Children's Drive, Columbus, Ohio 43205
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_433_19

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The transversus abdominis plane (TAP) block is a peripheral nerve block that was originally described in 2001. Considering the sensory distribution of the TAP block, which does not provide visceral anesthesia, it has been used primarily for postoperative analgesia. We present the use of a TAP block as the sole anesthetic for placement of a cutaneous vesicostomy in a 4-year-old child with multiple comorbid conditions. The basic principles of the TAP block are presented, and its previous use instead of general in various clinical scenarios is reviewed.


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