Ultrasound guided transversus abdominis plane block in infants, children and adolescents: a simple procedural guidance for their performance

Paediatr Anaesth. 2009 Apr;19(4):296-9. doi: 10.1111/j.1460-9592.2009.02958.x.

Abstract

The transversus abdominis plane block (TAP) has been described recently for pain management following abdominal surgery. Although many techniques have been described using anatomical landmarks, a simple ultrasound (US) guidance technique for the block has not been described in children. An article published by Hebbard and colleagues on the use of US-guidance for TAP blocks described the technique with the probe positioned at the midaxillary line with a needle insertion that is located further medial on the abdominal wall. This technique, although feasible in adults is not possible in children due to the need for obtaining a more thorough spread of the local anesthetic solution. We describe in this article, a user-friendly approach to the placement of a TAP block in infants, children and adolescents. Further pharmacokinetic data has to be obtained for actual dosing for these blocks in infants and children.

Publication types

  • Review

MeSH terms

  • Abdomen / anatomy & histology*
  • Abdomen / diagnostic imaging*
  • Abdominal Wall / anatomy & histology
  • Adolescent
  • Anesthetics, Local / administration & dosage
  • Child
  • Child, Preschool
  • Humans
  • Infant
  • Infant, Newborn
  • Nerve Block / methods*
  • Ultrasonography

Substances

  • Anesthetics, Local