The TAP block in obese patients: pros and cons.

Details

Serval ID
serval:BIB_E728B076DB64
Type
Article: article from journal or magazin.
Collection
Publications
Title
The TAP block in obese patients: pros and cons.
Journal
Minerva anestesiologica
Author(s)
Ruiz-Tovar J., Albrecht E., Macfarlane A., Coluzzi F.
ISSN
1827-1596 (Electronic)
ISSN-L
0375-9393
Publication state
Published
Issued date
09/2019
Peer-reviewed
Oui
Volume
85
Number
9
Pages
1024-1031
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The growing number of laparoscopic surgical procedures performed in obese patients has increased the need to explore suitable analgesic techniques for a prone population to postoperative complications. The morbidly obese population may particularly benefit from the opioid-sparing or the opioid-free anesthesia/analgesia, which maximize the use of locoregional techniques. Transversus abdominal plane (TAP) block has been widely used as part of multimodal analgesia for abdominal and gynecological surgeries, but evidence in obese patients is still poor. The efficacy of TAP block in morbidly obese patients undergoing laparoscopic bariatric surgery is still under discussion, because ultrasound visualization of the abdominal wall muscles can be challenging due to the excessive subcutaneous fat. Inadequate needle positioning, failed regional analgesia, and possible related risks must be counterbalanced by adequate evidence of effectiveness. The present article will discuss the pros and cons of TAP block in the treatment of obese patients.
Pubmed
Web of science
Create date
22/04/2019 14:27
Last modification date
10/10/2019 5:10
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