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- Elird Bojaxhi and Steven R Clendenen.
- Anesthesiology, Mayo Clinic, Jacksonville, USA.
- Cureus. 2019 Sep 16; 11 (9): e5664.
AbstractIntegrating regional anesthesia and multi-modal pain management is a well described and successful strategy to reduce post-operative pain. The use of transversus abdominis plane (TAP) blocks has been well-described for abdominal surgery, which includes various injection sites to improve analgesic coverage and catheter usage to prolong duration of analgesia. After a cadaver contrast study, our investigation illustrates that, for a TAP catheter block, a programmed intermittent bolus provides greater spread of the injection in the fascial plane as compared to a continuous infusion. Clinical trials are needed to investigate if these findings translate to greater analgesic coverage of the anterior abdominal wall, particularly in the subcostal region.Copyright © 2019, Bojaxhi et al.
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