Asunto(s)
Abdomen , Bloqueo Nervioso , Abdomen/diagnóstico por imagen , Abdomen/cirugía , Acetaminofén/uso terapéutico , Analgésicos no Narcóticos/uso terapéutico , Analgésicos Opioides/uso terapéutico , Anestesia General , Anestésicos Locales , Bupivacaína/análogos & derivados , Codeína/uso terapéutico , Humanos , Lactante , Recién Nacido , Cuidados Intraoperatorios , Levobupivacaína , Auditoría Médica , Morfina/uso terapéutico , Agujas , Dolor Postoperatorio/tratamiento farmacológico , UltrasonografíaRESUMEN
We carried out a prospective service evaluation of the quality of pain control after preoperative transverse abdominis plane (TAP) block in 100 children undergoing abdominal surgery. Data were collected on type of procedure, age, weight, level of the block, local anesthetic used, additional analgesia, and hourly pain scores. Of the 100 patients, 87 were included in the evaluation, 77% of who were less than 1 year old. Adequate pain relief was achieved in 93% of all patients. Almost half (47%) of our patients did not require intravenous (IV) opioids in the postoperative period and 27% did not need any IV opioids at all. Our results confirm the good quality of perioperative analgesia achieved with a TAP block as part of a multimodal approach in children undergoing abdominal surgery. Depending on the patient's age and the type of procedure, a TAP block may eliminate the need for IV opioids.