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Minerva Anestesiologica 2017 March;83(3):282-7

DOI: 10.23736/S0375-9393.16.11420-8

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Transversus abdominis plane block for postoperative analgesia in neonates and young infants: retrospective analysis of a case series

Pinar KENDIGELEN 1, Cigdem TÜTÜNCÜ 1, Gulruh ASHYRALYYEVA 1, Rahsan OZCAN 2, Senol EMRE 2, Fatis ALTINDAS 1, Guner KAYA 1

1 Department of Anesthesia and Intensive Care, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey; 2 Department of Pediatric Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey


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BACKGROUND: The effectiveness of the transversus abdominis plane (TAP) block in children has been well characterized in literature. However, there are only few reports about TAP block in the neonates and low birth weight groups. This is a retrospective observational analysis of ultrasound – assisted TAP blocks in neonates and young infants. The aim of this study was to analyze retrospectively the analgesic effectiveness of TAP block in neonates and infants undergoing abdominal and inguinal surgeries.
METHODS: Thirty-four cases of neonates and infants to (whom) TAP block was applied, were retrospectively analyzed. The TAP block was performed postoperatively in supraumbilical surgeries and preoperatively in infraumbilical surgeries. The TAP block was applied with 0.8 mL/kg-1 of 0.25% bupivacaine in unilateral approach and 1.6 mL/kg-1 of 0.125% bupivacaine in bilateral approach. The CRIES Pain Scale was used for postoperative pain measurement of neonates.
RESULTS: The patient’s age ranged from 2 to 88 day-old with a mean (SD) of 36.2(24.2). Eleven of them were premature babies. The weight ranged from 1.6 to 5.8 with a mean (SD) of 3.7 kg (1.1). Twenty-nine patients were extubated at the end of the surgery and the other patients within 12 hours. 67.7% infants required no additional postoperative analgesic in 24 hours and none of them required narcotic analgesics.
CONCLUSIONS: Our conclusion is that the use of TAP blocks results in low analgesic requirements and a low incidence of postoperative intubation and mechanical ventilation in neonates and infants. It should be considered in this age group of child for postoperative analgesia.


KEY WORDS: Nerve block - Infant, newborn - Abdominal wall

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