超声引导下腹横肌平面阻滞用于腹部手术的研究进展

doi:10.3969/j.issn.2095-378X.2017.03.014

Abstract

Abstract: Ultrasound-guided transversus abdominis plane (TAP) block is a peripheral nerve (T6-L1) block for anterior abdominal wall.The method is injecting local anesthetics into the gap of fascia transversalis and deep muscle under ultrasound guidance.There are three major approaches used in clinical practice currently,including abdominal lateral approach,subcostal approach,and posterior approach.According to the level of anesthesia,we can choose corresponding approaches.TAP block can be used for anesthesia in abdominal surgery and postoperative analgesia.As one multimodal analgesia scheme,TAP block can improve analgesia effect.Ultrasound guidance can improve the success rate of TAP block and reduce the incidence rate of complications.The combined application of dexmedetomidine can enhance analgesic quality.Continuous TAP block can achieve sustained and stable analgesic effect.

Key words: Transversus abdominis plane block, Ultrasound guidance, Abdominal surgery

CLC Number:

R614

ZHAO Yanhong, ZHANG Xiaoqing. Research progress on ultrasound-guided transversus abdominis plane block for abdominal surgery[J]. Surgical Research and New Technique, 2017, 6(3): 193-197.

References

[1] Lissauer J,Mancuso K,Merritt C,et al.Evolution of the transversus abdominis plane block and its role in postoperative analgesia[J].Best Pract Res Clin Anaesthesiol,2014,28(2):117-126.
[2] Cote Av,Vachon CA,Horlocker TT,et al.From Victor Pauchet to Gaston Labat:the transformation of regional anesthesia from a Surgeon’s Practice to the Physician Anesthesiologist[J].Anesth Analg,2003,96(4):1193-1200.
[3] Liu SS,Ngeow JE,Yadeau JT.Ultransound-guided regional anesthesia and analgesia:a qualitative systhematic review[J].Reg Anesth Pain Med,2009,34(1):47-59.
[4] Mcdonnell JG,Curley G,Carney J,et al.The analgesic efficacy of transverses abdominia plane block after cesarean delivery:a randomized controlled trail[J].Anesth Analg,2008,106(1):186-191.
[5] Hebbard P,Fujiwara Y,Shibata Y,et al.Ultrasound-guided transverses abdominis plane(TAP) block[J].Anaesth Intens Care,2007,35(4):616-617.
[6] Urigel S,Molter J.Transversus abdominis plane (TAP) blocks[J].AANA J,2014,82(1):73-79.
[7] Loukas M,Tubbs RS,El-Sedfy A,et al.The clinical anatomy of the triangle of Petit[J].Hernia,2007,11(5):441-444.
[8] Eichenberger U,Greher M,Kirchmair L,et al.Ultrasound-guided blocks of the ilioonguinal and iliohypogastric nerve:Accuracy of a selective new technique confirmed by anatomical dissection[J].Br J Anaesth,2006,97(2):238-243.
[9] Aveline C,Le Hetet H,Le Roux A,et al.Comparison between ultrasound-guided transversus abdominis plane and conventional ilioinguinal/iliohypogastrie nerve blocks for dayease open inguinal hernia repair[J].Br J Anaesth,2011,106(3):380-386.
[10] Niraj G,Searle A,Mathews M,et al.Anzlgesic efficacy og ultrasound-guided transverses abdominis plane block in patients undergoing open appendicectomy[J].Br J Anaesth 2009,103(4):60-65.
[11] Walter CJ,Maxwell-Armstrong C,Pinkney TD,et al.A randomized controlled trial of the efficacy of ultrasound-guided transverses abdominis plane (TAP) block in laparoscopic colorectal surgery[J].Surg Endosc,2013,27(7):2366-2372.
[12] De Oliveira Jr GS,Fitzgerald PC,Marcus RJ,et al.A dose-ranging study of the effect of transverses abdominis block on postoperative quality of recovery and analgesia after outpatient laparoscopy[J].Anesth Analg,2011,113(5):1218-1225.
[13] Hebbard P.Subcostal transverses abdominis plane block under ultrasound guidance[J].Anesth Analg,2008,106(2):674-675.
[14] Kitlik A,Erdoqan MA,Ozqul U,et al.Ultrasound-guided transversus abdominis plane block for postoperative analgesia in living liver donors:A prospective,randomized,double-blinded clinical trial[J].J Clin Anesth,2017,37(2):103-107.
[15] Peng K,Ji FH,Liu HY,et al.Ultrasound-guided transversus abdominis plane block for analgesia in laparoscopic cholecystectomy: a systematic review and meta-analysis[J].Med Princ Pract,2016,25(3):237-246.
[16] Markic D,Vujicic B,Ivanovski M,et al.Peritoneal dialysis catheter surgery surgery using transverses abdominis plane block[J].Perit Dial Int,2017,37(4):429-433.
[17] Rasario DJ,Jacob S,Luntley J,et al.Mechanism of femoral nerve palsy complicating percutaneous ilioinguinal field block[J].Br J Anaesth,1997,78(3):314-316.
[18] Walker G.Transversus abdominis plane block:a note of caution![J].Br J Anaesth,2010,104(2):265.
[19] 秦朝生,林育南,刘敬臣,等.超声引导下连续腹横肌平面阻滞在腹腔镜结直肠手术术后镇痛的临床研究[J].微创医学,2016,11(5):664-668.
[20] Schaible HG.Pathophysiology of palm Orthopade[J].Orthopade,2007,36(1):8.
[21] Sun N,Wang S,Ma P,et al.Postoperative analgesia by a transversus abdominis plane block using different concentrations of ropivacaine for abdominal surgery:a meta-analysis[J].Clin J Pain,2017,33(9):853-863.
[22] Hivelin M,Wyniecki A,Plaud B,et al.Ultrasound-guided bilateral transversus abdominis plane block for postoperative analgesia after breast reconstruction by DIEP flap[J].Plast Reconstr Surg,2011,128(1):44-55.
[23] Mishra M,Mishra SP,Singh SP.Ultrasound-guided transversus abdominis plane block:What are the benefits of adding dexmedetomidine to ropivacaine?[J].Saudi J Anaesth,2017,11(1):58-61.
[24] Ding W,Li W,Zeng X,et al.Effect of adding dexmedetomidine to ropivacaine on ultrasound-guided dual transversus abdominis plane block after gastrectomy[J].J Gastrointest Surg,2017,21(6):936-946.
[25] 戴体俊,喻田,唐显玲.麻醉药理学[M].2版.北京:人民卫生出版社,2005:40-47.
[26] 师小伟,熊源长,刘佩蓉.地佐辛临床镇痛的研究进展[J].医学综述,2013,19(6):1105- 1107.
[27] Lancaster P,Chadwick M.Liver trauma secondary to ultrasound-guided transverses abdominis plane block[J].Br J Anaesth,2010,104(4):509-510.
[28] Neal JM,Brull R,Chan VWS,et al.The ASRA evidence-based medicine assessment of ultrasound-guided regional anesthesia and pain mendicine:executive summary[J].Region Anesth Pain Med,2010,35(2):S1-S9.
[29] Ma N,Duncan JK,Scarfe AJ,et al.Clinical safety and effectiveness of transversus abdominis plane (TAP) block in post-operative analgesia:a systematic review and meta-analysis[J].J Anesth,2017,31(3):432-452.

Research progress on ultrasound-guided transversus abdominis plane block for abdominal surgery

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