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Volume: 36  Issue: 3   Year: 2024
  Analgesic Efficacy Of Transversus Abdominis Plane Block In Neonates And Early Infants For Colostomy And Reversal Of Colostomy [Ağrı]
Ağrı. 2015; 27(4): 210-214 | DOI: 10.5505/agri.2015.66487  

Analgesic Efficacy Of Transversus Abdominis Plane Block In Neonates And Early Infants For Colostomy And Reversal Of Colostomy

Chee Kean Chen1, Shu Ching Teo2, Vui Eng Phui3, Mat Ariffin Saman2
1Department Of Anesthesiology, Kuching Specialist Hospital, Kuching, Malaysia
2Department Of Anesthesiology, Sarawak General Hospital, Kuching, Malaysia
3Department Of Medicine, Sarawak General Hospital, Kuching, Malaysia

The application of ultrasound-guided transversus abdominis plane (TAP) block in paediatric population is gaining popularity among anaesthetists. We present a case series of ultrasound-guided TAP block in ten neonate and infants undergoing colostomy and reversal of stoma. Classical TAP as described by Hebbard was carried out and a maximum dosage of 1ml/kg of 0.25% levobupivacaine was injected. Pain score was assessed using Neonatal Infant Pain Scale for 24 hours. In all patients, the block was successful with minimal hemodynamic changes intraoperatively and no additional systemic analgesia was needed intraoperative and immediate postoperatively. Ultrasound-guided TAP block has an important role in providing safe and effective analgesia for colostomy creation and reversal of stoma surgeries in paediatric population.

Keywords: Transversus abdominis plane block, paediatric surgery, colostomy


Chee Kean Chen, Shu Ching Teo, Vui Eng Phui, Mat Ariffin Saman. Analgesic Efficacy Of Transversus Abdominis Plane Block In Neonates And Early Infants For Colostomy And Reversal Of Colostomy. Ağrı. 2015; 27(4): 210-214

Corresponding Author: Chee Kean Chen, Malaysia


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