RT Book, Section
A1 Eklund, Susan E.
A1 Alrayashi, Walid
A2 Ellinas, Herodotos
A2 Matthes, Kai
A2 Alrayashi, Walid
A2 Bilge, Aykut
SR Print(0)
ID 1176459568
T1 Regional Anesthesia: Truncal Blocks
T2 Clinical Pediatric Anesthesiology
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781259585746
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1176459568
RD 2024/09/20
AB FOCUS  POINTSMost  peripheral  nerve  blocks  in  children  are  performed  under  general  anesthesia.Transversus  abdominus  plane  (TAP)  blocks  may  provide  analgesia  for  lower  abdominal  surgery  (T10-L1).Complications  associated  with  TAP  blocks  include  peritoneal  or  bowel  injury.Quadratus  lumborum  (QL)  blocks  can  block  a  wide  range  of  dermatomes  of  the  anterior  abdominal  wall,  roughly  T7-L1.  In  addition,  spread  to  the  paravertebral  space  can  provide  analgesia  for  peritoneal  or  visceral  pain.Rectus  sheath  blocks  provide  analgesia  to  the  anterior  abdominal  wall  and  are  often  used  as  complements  to  TAP  or  QL  blocks,  especially  above  the  umbilicus.Paravertebral  (PV)  blocks  are  primarily  used  for  thoracic  surgeries.Complications  associated  with  PV  blocks  are  related  to  the  proximity  of  this  deep  space  to  the  pleura  (pneumothorax).  Other  complications  are  inadvertent  vascular  puncture  or  intrathecal/epidural  injection.