Clinical implications of the transversus abdominis plane block in adults.
Clinical implications of the transversus abdominis plane block in adults.
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DOI：
10.1155/2012/731645
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发表时间：
2012
影响因子：
1.4
通讯作者：
Quraishi SA
中科院分区：
文献类型：
--
作者：
Young MJ;Gorlin AW;Modest VE;Quraishi SA
经腹壁平面(TAP)阻滞是一种相对较新的区域麻醉技术，可对壁腹膜以及前腹壁的皮肤和肌肉起到镇痛作用。它具有很高的安全边际，在技术上很容易操作，特别是在超声波引导下。越来越多的证据支持在各种腹部手术中使用TAP块，然而，这种治疗辅助工具的广泛采用一直很缓慢。在一定程度上，这可能与麻醉师对其良好的解剖学基础和临床应用的多样性的欣赏来源有限有关。因此，我们提供了TAP块的简要历史视角，描述了相关的解剖学，回顾了当前的技术，讨论了药理学方面的考虑，并总结了关于其临床应用的现有文献，重点是最近发表的研究，这些研究没有包括在其他系统综述或荟萃分析中。
The transversus abdominis plane (TAP) block is a relatively new regional anesthesia technique that provides analgesia to the parietal peritoneum as well as the skin and muscles of the anterior abdominal wall. It has a high margin of safety and is technically simple to perform, especially under ultrasound guidance. A growing body of evidence supports the use of TAP blocks for a variety of abdominal procedures, yet, widespread adoption of this therapeutic adjunct has been slow. In part, this may be related to the limited sources for anesthesiologists to develop an appreciation for its sound anatomical basis and the versatility of its clinical application. As such, we provide a brief historical perspective on the TAP block, describe relevant anatomy, review current techniques, discuss pharmacologic considerations, and summarize the existing literature regarding its clinical utility with an emphasis on recently published studies that have not been included in other systematic reviews or meta-analyses.