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Pain relief after transversus abdominis plane block for abdominal surgery in children: a service evaluation

Authors Bergmans E, Jacobs A, Desai R, Masters O, Thies K

Received 15 November 2014

Accepted for publication 30 December 2014

Published 7 April 2015 Volume 2015:8 Pages 1—6


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Stefan Wirz

Elonka Bergmans,1 Alet Jacobs,1 Rachel Desai,1 Oliver W Masters,2 Karl C Thies1

1Department of Anaesthesia and Pain Medicine, Birmingham Children's Hospital, Birmingham, 2Department of Anaesthesia, Royal Gwent Hospital, Newport, UK

Abstract: We carried out a prospective service evaluation of the quality of pain control after preoperative transverse abdominis plane (TAP) block in 100 children undergoing abdominal surgery. Data were collected on type of procedure, age, weight, level of the block, local anesthetic used, additional analgesia, and hourly pain scores. Of the 100 patients, 87 were included in the evaluation, 77% of who were less than 1 year old. Adequate pain relief was achieved in 93% of all patients. Almost half (47%) of our patients did not require intravenous (IV) opioids in the postoperative period and 27% did not need any IV opioids at all. Our results confirm the good quality of perioperative analgesia achieved with a TAP block as part of a multimodal approach in children undergoing abdominal surgery. Depending on the patient's age and the type of procedure, a TAP block may eliminate the need for IV opioids.

Keywords: intravenous opioids, pain control, TAP block, perioperative analgesia, postoperative analgesia

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