Book Synopsis CONTINUOUS TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCKADE FOR POST-OPERATIVE ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERY U2013 IS IT THE NEW UNDERTOW FOR POST-OPERATIVE PAIN RELIEF?. by :
Download or read book CONTINUOUS TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCKADE FOR POST-OPERATIVE ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERY U2013 IS IT THE NEW UNDERTOW FOR POST-OPERATIVE PAIN RELIEF?. written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Aims:Patients who undergo major abdominal surgery are at risk of developing acute post-operative pain and it is vital to ensure that they receive adequate post-operative analgesia. Continuous TAP blockade has been shown to be non-inferior to epidural analgesia as part of multimodal pain management for these patients.1 Since 2013, our department has initiated the practice of continuous TAP blockade for patients who undergo abdominal surgery to address the issue of opioid-sparing post-operative pain control. Compared to epidurals, the continuous TAP blockade under ultrasound guidance has a less acute learning curve which residents/registrars would be able to perform with greater confidence. This study objective is to review the trend of continuous TAP and Thoracic Epidural Analgesia (TEA) insertion for abdominal surgery performed by residents.Methods:A retrospective data collection was performed on surgical patients who received either continuous TAP blockade or TEA for major abdominal surgery from 01 Jan 2014 to 1 Jan 2016.Results112 TEA and 84 continuous TAP blockade were performed in 2014 whilst 68 TEA and 144 continuous TAP blockade were performed in 2015 for major abdominal surgery. 27% and 33.8% of TEA were performed by junior anaesthesiologists (residents, registrars or fellows) whilst 77.7% (103) and 75.4% (126) continuous TAP blockade were performed by the junior staff in 2014 and 2015 respectively.Conclusions:With the introduction of TAP catheters, the number of epidurals for abdominal surgery is on the downward trend. Continuous TAP blockade is relatively easier to perform but also offer opioid-sparing analgesia.