ISSN : 2663-2187

An Overview about Transversus abdominal plane (TAP) block for postoperative pain management

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Khaled Fawzy Ali El-Eraki, Ayman Abdelsalam Abdelgaleel, Olfat Abdelmoniem Ibrahem Amin, Ayman Eskander Tawfeek
» doi: 10.48047/AFJBS.6.2.2024.2938-2943

Abstract

Background: The TAP block has been around for a while, and there is a lot of clinical experience with them now. This review aims to summarize the current evidence regarding the effects of TAP block and offer recommendations for future studies in this area.A significant improvement in TAP block performance was made possible by the quick adoption of an ultrasound-guided technique, one of numerous methods for executing abdominal wall blocks. The surgeon may also insert an abdominal wall block while the patient is still within the abdomen.The effects of TAP block have been the subject of eleven meta-analyses, which together form a solid body of evidence. These evaluations compare the TAP block to other analgesic regimens and cover a range of processes and strategies for administering the block.It appears that TAP block has benefits during laparoscopic colon resection and results similar to local infiltration analgesia during laparoscopic cholecystectomy. These effects are dose dependent on local anesthesia, and TAP has a stronger impact when given before surgery. Patients with conditions like extreme obesity, for whom epidural or spinal anaesthesia/analgesia is technically challenging or even dangerous, may find TAP block to be an appealing alternative. Additional high-quality research comparing TAP block to other analgesic options before surgery is clearly required. These options should include epidural, local infiltration, and single-shot spinal. Procedural specificity is key in these studies. It is important to assess the effects on postoperative nausea and vomiting, bowel function recovery, ambulation, discharge, and long-term recovery outcomes (e.g., postoperative quality of recovery scale) in addition to short-term pain and analgesic requirement.

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