Skip to main content
SpringerLink
Log in

Abdominal Wall Blocks: Safe Practice and Management of Adverse Events

  • Chapter
  • First Online:
Complications of Regional Anesthesia

  • 1874 Accesses

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

ASIS:

Anterior Superior Iliac Spine

ED50 :

Median effective dose

LA:

Local anesthetic

TAP:

Transversus abdominis plane

References

  1. O'Donnell BD, McDonnell JG, McShane AJ. The transversus abdominis plane (TAP) block in open retropubic prostatectomy. Reg Anesth Pain Med. 2006;31:91.

    Article  PubMed  Google Scholar 

  2. Markham SJ, Tomlinson J, Hain WR. Ilioinguinal nerve block in children. A comparison with caudal block for intra and postoperative analgesia. Anaesthesia. 1986;41:1098–103.

    Article  CAS  PubMed  Google Scholar 

  3. Bortolato A, Ori C, Freo U. Transient abdominal motor block after a transversus abdominis plane block in an elderly patient. Can J Anaesth. 2015;62:837–8.

    Article  PubMed  Google Scholar 

  4. Grady MV, Cummings III KC. The “flank bulge” sign of a successful transversus abdominis plane block. Reg Anesth Pain Med. 2008;33:387.

    Article  PubMed  Google Scholar 

  5. Lancaster P, Chadwick M. Liver trauma secondary to ultrasound-guided transversus abdominis plane block. Br J Anaesth. 2010;104:509–10.

    Article  CAS  PubMed  Google Scholar 

  6. Jankovic Z, Ahmad N, Ravishankar N, Archer F. Transversus abdominis plane block: how safe is it? Anesth Analg. 2008;107:1758–9.

    Article  PubMed  Google Scholar 

  7. Farooq M, Carey M. A case of liver trauma with a blunt regional anesthesia needle while performing transversus abdominis plane block. Reg Anesth Pain Med. 2008;33:274–5.

    Article  PubMed  Google Scholar 

  8. O’Donnell BD, Mannion S. A case of liver trauma with a blunt regional anesthesia needle while performing transversus abdominis plane block. Reg Anesth Pain Med. 2009;34:75–6.

    Article  PubMed  Google Scholar 

  9. Frigon C, Mai R, Valois-Gomez T, Desparmet J. Bowel hematoma following an iliohypogastric-ilioinguinal nerve block. Paediatr Anaesth. 2006;16:993–6.

    Article  PubMed  Google Scholar 

  10. Amory C, Mariscal A, Guyot E, Chauvet P, Leon A, Poli-Merol ML. Is ilioinguinal/iliohypogastric nerve block always totally safe in children? Paediatr Anaesth. 2003;13:164–6.

    Article  CAS  PubMed  Google Scholar 

  11. Johr M, Sossai R. Colonic puncture during ilioinguinal nerve block in a child. Anesth Analg. 1999;88:1051–2.

    Article  CAS  PubMed  Google Scholar 

  12. Weintraud M, Marhofer P, Bosenberg A, Kapral S, Willschke H, Felfernig M, Kettner S. Ilioinguinal/iliohypogastric blocks in children: where do we administer the local anesthetic without direct visualization? Anesth Analg. 2008;106:89–93. table

    Article  CAS  PubMed  Google Scholar 

  13. McDermott G, Korba E, Mata U, Jaigirdar M, Narayanan N, Boylan J, Conlon N. Should we stop doing blind transversus abdominis plane blocks? Br J Anaesth. 2012;108:499–502.

    Article  CAS  PubMed  Google Scholar 

  14. Parvaiz MA, Korwar V, McArthur D, Claxton A, Dyer J, Isgar B. Large retroperitoneal haematoma: an unexpected complication of ilioinguinal nerve block for inguinal hernia repair. Anaesthesia. 2012;67:80–1.

    Article  CAS  PubMed  Google Scholar 

  15. Vaisman J. Pelvic hematoma after an ilioinguinal nerve block for orchialgia. Anesth Analg. 2001;92:1048–9.

    Article  CAS  PubMed  Google Scholar 

  16. Walker G. Transversus abdominis plane block: a note of caution! Br J Anaesth. 2010;104:265.

    Article  CAS  PubMed  Google Scholar 

  17. Manatakis DK, Stamos N, Agalianos C, Karvelis MA, Gkiaourakis M, Davides D. Transient femoral nerve palsy complicating “blind” transversus abdominis plane block. Case Rep Anesthesiol. 2013;2013:874215.

    PubMed  PubMed Central  Google Scholar 

  18. Rosario DJ, Skinner PP, Raftery AT. Transient femoral nerve palsy complicating preoperative ilioinguinal nerve blockade for inguinal herniorrhaphy. Br J Surg. 1994;81:897.

    Article  CAS  PubMed  Google Scholar 

  19. Rosario DJ, Jacob S, Luntley J, Skinner PP, Raftery AT. Mechanism of femoral nerve palsy complicating percutaneous ilioinguinal field block. Br J Anaesth. 1997;78:314–6.

    Article  CAS  PubMed  Google Scholar 

  20. Pattulo G. Adherent transversus abdominis plane catheter. Anaesth Intensive Care. 2011;39:968–9.

    CAS  PubMed  Google Scholar 

  21. Tan CO, Trinca J. An adherent transversus abdominis plane catheter. Anaesth Intensive Care. 2011;39:315–6.

    CAS  PubMed  Google Scholar 

  22. McDonnell JG, O’Donnell BD, Farrell T, Gough N, Tuite D, Power C, Laffey JG. Transversus abdominis plane block: a cadaveric and radiological evaluation. Reg Anesth Pain Med. 2007;32:399–404.

    PubMed  Google Scholar 

  23. Barrington MJ, Ivanusic JJ, Rozen WM, Hebbard P. Spread of injectate after ultrasound-guided subcostal transversus abdominis plane block: a cadaveric study. Anaesthesia. 2009;64:745–50.

    Article  CAS  PubMed  Google Scholar 

  24. Jankovic ZB, du Feu FM, McConnell P. An anatomical study of the transversus abdominis plane block: location of the lumbar triangle of Petit and adjacent nerves. Anesth Analg. 2009;109:981–5.

    Article  PubMed  Google Scholar 

  25. Lahlou-Casulli M, Chaize-Avril C, Pouliquen E, Desfourneaux V, Mazoit JX, Malledant Y, Beloeil H. The median effective analgesic dose (ED50) of ropivacaine in ultrasound-guided transversus abdominis plane block for analgesia in reversal of ileostomy: A double-blind up-down dose-finding study. Eur J Anaesthesiol. 2015;32:640–4.

    Article  CAS  PubMed  Google Scholar 

  26. Griffiths JD, Barron FA, Grant S, Bjorksten AR, Hebbard P, Royse CF. Plasma ropivacaine concentrations after ultrasound-guided transversus abdominis plane block. Br J Anaesth. 2010;105:853–6.

    Article  CAS  PubMed  Google Scholar 

  27. Griffiths JD, Le NV, Grant S, Bjorksten A, Hebbard P, Royse C. Symptomatic local anaesthetic toxicity and plasma ropivacaine concentrations after transversus abdominis plane block for Caesarean section. Br J Anaesth. 2013;110:996–1000.

    Article  CAS  PubMed  Google Scholar 

  28. Kato N, Fujiwara Y, Harato M, Kurokawa S, Shibata Y, Harada J, Komatsu T. Serum concentration of lidocaine after transversus abdominis plane block. J Anesth. 2009;23:298–300.

    Article  PubMed  Google Scholar 

  29. Ala-Kokko TI, Karinen J, Raiha E, Kiviluoma K, Alahuhta S. Pharmacokinetics of 0.75 % ropivacaine and 0.5 % bupivacaine after ilioinguinal-iliohypogastric nerve block in children. Br J Anaesth. 2002;89:438–41.

    CAS  PubMed  Google Scholar 

  30. Bosenberg AT, Thomas J, Lopez T, Huledal G, Jeppsson L, Larsson LE. Plasma concentrations of ropivacaine following a single-shot caudal block of 1, 2 or 3 mg/kg in children. Acta Anaesthesiol Scand. 2001;45:1276–80.

    Article  CAS  PubMed  Google Scholar 

  31. Costello TG, Cormack JR, Hoy C, Wyss A, Braniff V, Martin K, Murphy M. Plasma ropivacaine levels following scalp block for awake craniotomy. J Neurosurg Anesthesiol. 2004;16:147–50.

    Article  PubMed  Google Scholar 

  32. Dalens B, Ecoffey C, Joly A, Giaufre E, Gustafsson U, Huledal G, Larsson LE. Pharmacokinetics and analgesic effect of ropivacaine following ilioinguinal/iliohypogastric nerve block in children. Paediatr Anaesth. 2001;11:415–20.

    Article  CAS  PubMed  Google Scholar 

  33. Knudsen K, Beckman SM, Blomberg S, Sjovall J, Edvardsson N. Central nervous and cardiovascular effects of i.v. infusions of ropivacaine, bupivacaine and placebo in volunteers. Br J Anaesth. 1997;78:507–14.

    Article  CAS  PubMed  Google Scholar 

  34. Landy C, Gagnon N, Boulland P, Raynaud L, Plancade D. Seizures associated with local anaesthetic intoxication. Br J Anaesth. 2012;109:463–4.

    Article  CAS  PubMed  Google Scholar 

  35. Sakai T, Manabe W, Kamitani T, Takeyama E, Nakano S. Ropivacaine-induced late-onset systemic toxicity after transversus abdominis plane block under general anesthesia: successful reversal with 20 % lipid emulsion. Masui. 2010;59:1502–5.

    PubMed  Google Scholar 

  36. Weiss E, Jolly C, Dumoulin JL, Meftah RB, Blanie P, Laloe PA, Tabary N, Fischler M, Le GM. Convulsions in 2 patients after bilateral ultrasound-guided transversus abdominis plane blocks for cesarean analgesia. Reg Anesth Pain Med. 2014;39:248–51.

    Article  CAS  PubMed  Google Scholar 

  37. Weintraud M, Lundblad M, Kettner SC, Willschke H, Kapral S, Lonnqvist PA, Koppatz K, Turnheim K, Bsenberg A, Marhofer P. Ultrasound versus landmark-based technique for ilioinguinal-iliohypogastric nerve blockade in children: the implications on plasma levels of ropivacaine. Anesth Analg. 2009;108:1488–92.

    Article  CAS  PubMed  Google Scholar 

  38. Corvetto MA, Echevarria GC, De La Fuente N, Mosqueira L, Solari S, Altermatt FR. Comparison of plasma concentrations of levobupivacaine with and without epinephrine for transversus abdominis plane block. Reg Anesth Pain Med. 2012;37:633–7.

    Article  CAS  PubMed  Google Scholar 

  39. Hessian EC, Evans BE, Woods JA, Taylor DJ, Kinkel E, Bjorksten AR. Plasma ropivacaine concentrations during bilateral transversus abdominis plane infusions. Br J Anaesth. 2013;111:488–95.

    Article  CAS  PubMed  Google Scholar 

  40. Kumar SK, Rao V, Morris RG, Watts RW, Westley IS. Ropivacaine (total and unbound) and AGP concentrations after transversus abdominis plane block for analgesia after abdominal surgery. Ther Drug Monit. 2014;36:759–64.

    Article  CAS  PubMed  Google Scholar 

  41. Willschke H, Marhofer P, Bosenberg A, Johnston S, Wanzel O, Cox SG, Sitzwohl C, Kapral S. Ultrasonography for ilioinguinal/iliohypogastric nerve blocks in children. Br J Anaesth. 2005;95:226–30.

    Article  CAS  PubMed  Google Scholar 

  42. Long JB, Birmingham PK, De Jr OG, Schaldenbrand KM, Suresh S. Transversus abdominis plane block in children: a multicenter safety analysis of 1994 cases from the PRAN (Pediatric Regional Anesthesia Network) database. Anesth Analg. 2014;119:395–9.

    Article  CAS  PubMed  Google Scholar 

  43. van Schoor AN, Boon JM, Bosenberg AT, Abrahams PH, Meiring JH. Anatomical considerations of the pediatric ilioinguinal/iliohypogastric nerve block. Paediatr Anaesth. 2005;15:371–7.

    Article  PubMed  Google Scholar 

  44. Baaj JM, Alsatli RA, Majaj HA, Babay ZA, Thallaj AK. Efficacy of ultrasound-guided transversus abdominis plane (TAP) block for postcesarean section delivery analgesia--a double-blind, placebo-controlled, randomized study. Middle East J Anaesthesiol. 2010;20:821–6.

    PubMed  Google Scholar 

  45. Belavy D, Cowlishaw PJ, Howes M, Phillips F. Ultrasound-guided transversus abdominis plane block for analgesia after Caesarean delivery. Br J Anaesth. 2009;103:726–30.

    Article  CAS  PubMed  Google Scholar 

  46. McDonnell JG, Curley G, Carney J, Benton A, Costello J, Maharaj CH, Laffey JG. The analgesic efficacy of transversus abdominis plane block after cesarean delivery: a randomized controlled trial. Anesth Analg. 2008;106:186–91.

    Article  CAS  PubMed  Google Scholar 

  47. McMorrow RC, Ni Mhuircheartaigh RJ, Ahmed KA, Aslani A, Ng SC, Conrick-Martin I, Dowling JJ, Gaffney A, Loughrey JP, McCaul CL. Comparison of transversus abdominis plane block vs spinal morphine for pain relief after Caesarean section. Br J Anaesth. 2011;106:706–12.

    Article  CAS  PubMed  Google Scholar 

  48. Bhatia K, Corcoran J. Transversus abdominis plane blocks and liver injury. Br J Anaesth. 2010;104:782.

    Article  CAS  PubMed  Google Scholar 

  49. Singh SK, Corbett JF. Transversus abdominis plane blocks and liver injury. Br J Anaesth. 2010;104:782.

    Article  CAS  PubMed  Google Scholar 

  50. Hebbard P, Fujiwara Y, Shibata Y, Royse C. Ultrasound-guided transversus abdominis plane (TAP) block. Anaesth Intensive Care. 2007;35:616–7.

    CAS  PubMed  Google Scholar 

  51. De A. Needle visualization critical for ultrasound-guided block success and patient safety. Reg Anesth Pain Med. 2009;34:76–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesia and Pharmacology, University of Melbourne, Royal Women’s Hospital, Parkville, VIC, 3079, Australia

    James D. Griffiths MBBS, FANZCA, MEpi, PGCert CU

  2. Northeast Health Wangaratta, University of Melbourne, Melbourne, VIC, 3677, Australia

    Peter D. Hebbard MBBS, FANZCA, PG Dip Echo

Authors
  1. James D. Griffiths MBBS, FANZCA, MEpi, PGCert CU
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Peter D. Hebbard MBBS, FANZCA, PG Dip Echo
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to James D. Griffiths MBBS, FANZCA, MEpi, PGCert CU .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology and Pain Medicine University of Alberta, Edmonton, Alberta, Canada

    Brendan T. Finucane

  2. Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA

    Ban C.H. Tsui

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Griffiths, J.D., Hebbard, P.D. (2017). Abdominal Wall Blocks: Safe Practice and Management of Adverse Events. In: Finucane, B., Tsui, B. (eds) Complications of Regional Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-319-49386-2_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-49386-2_13

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-49384-8

  • Online ISBN: 978-3-319-49386-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation