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

Keywords

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

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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  • 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.