Ultrasound guided subcostal transversus abdominis plane block for neonates and infants

Shogo Ichiyanagi, Mayumi Suwa, Asaka Watanabe, Chizuru Ishida, Rie Minoshima, Kosuke Moroishi, Katsumi Okuyama

Research output: Contribution to journalArticle

Abstract

Background : It is reported that insufficient pain control in the neonate who had an operation might suffer neurological and behavioral abnormality. Methods : We retrospectively examined the subcostal transversus abdominis plane (TAP) block performed in 4 neonates and an infant (range, 2-84 days) from April 2015 to February 2016. All cases, a rapid sequence induction was performed with thiopental, atropine, rocronium, fentanyl (only case 5, no thiopental but midazolam). After induction ultrasound guided subcostal TAP block was performed with 0.2% ropib- acaine (2.0 mg • kg-1). Results : Four of five patients were extubated in the operating room and showed good postoperative analgesia by only acetaminophen Case 5 was not extubated in the operating room because of apnea but fentanyl was canceled because of respiratory depression Conclusions : The subcostal TAP block provides good postoperative analgesia after upper abdominal surgery in neonates and infants.

Original languageEnglish
Pages (from-to)1059-1063
Number of pages5
JournalJapanese Journal of Anesthesiology
Volume67
Issue number10
Publication statusPublished - 2018 Oct 1
Externally publishedYes

Fingerprint

Abdominal Muscles
Thiopental
Newborn Infant
Fentanyl
Operating Rooms
Analgesia
Midazolam
Apnea
Acetaminophen
Atropine
Respiratory Insufficiency
Pain

Keywords

  • Infant subcostal transversus abdominis plane block
  • Neonate
  • Upper abdominal surgery

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Ichiyanagi, S., Suwa, M., Watanabe, A., Ishida, C., Minoshima, R., Moroishi, K., & Okuyama, K. (2018). Ultrasound guided subcostal transversus abdominis plane block for neonates and infants. Japanese Journal of Anesthesiology, 67(10), 1059-1063.

Ultrasound guided subcostal transversus abdominis plane block for neonates and infants. / Ichiyanagi, Shogo; Suwa, Mayumi; Watanabe, Asaka; Ishida, Chizuru; Minoshima, Rie; Moroishi, Kosuke; Okuyama, Katsumi.

In: Japanese Journal of Anesthesiology, Vol. 67, No. 10, 01.10.2018, p. 1059-1063.

Research output: Contribution to journalArticle

Ichiyanagi, S, Suwa, M, Watanabe, A, Ishida, C, Minoshima, R, Moroishi, K & Okuyama, K 2018, 'Ultrasound guided subcostal transversus abdominis plane block for neonates and infants', Japanese Journal of Anesthesiology, vol. 67, no. 10, pp. 1059-1063.
Ichiyanagi S, Suwa M, Watanabe A, Ishida C, Minoshima R, Moroishi K et al. Ultrasound guided subcostal transversus abdominis plane block for neonates and infants. Japanese Journal of Anesthesiology. 2018 Oct 1;67(10):1059-1063.
Ichiyanagi, Shogo ; Suwa, Mayumi ; Watanabe, Asaka ; Ishida, Chizuru ; Minoshima, Rie ; Moroishi, Kosuke ; Okuyama, Katsumi. / Ultrasound guided subcostal transversus abdominis plane block for neonates and infants. In: Japanese Journal of Anesthesiology. 2018 ; Vol. 67, No. 10. pp. 1059-1063.
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