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///2018 Abstract Details
2018 Abstract Details2019-08-02T15:57:01-05:00

Transversus Abdominis Plane Block for Cesarean Section using Liposomal Bupivacaine without Narcotics

Abstract Number: S2D-4
Abstract Type: Case Report/Case Series

Michael L Tan BS1 ; Daniel Tapia MD2

The cesarean section has become one of the most commonly performed surgeries throughout the world. Pain after cesarean section may be severe both immediately after surgery and chronically. A variety of analgesics have been proposed with variable success, including the addition of preservative-free opioids to the local anesthetic during spinal anesthesia. However, narcotics bring undesired side effects, such as nausea, emesis, itching, respiratory depression, and sedation. Using local anesthesia effectively combined with a multimodal technique can provide profound analgesia while avoiding the undesired side effects of narcotics. We present, to our knowledge, the first two documented cases of analgesic management for cesarean section with the transversus abdominis plane (TAP) block using liposomal bupivacaine without the use of narcotics. The TAP block proved to be effective in providing analgesia to patients after cesarean section. Both patients rated their analgesic care with minimal to no pain and neither received narcotics during their entire hospital course. TAP block has tremendous potential and utility for anesthesiologists who are without access to expensive ultrasound technology, as the block can be performed by feeling the penetration “pops” of the two facial planes (external and internal oblique) with a blunt needle. It is likely that TAP block can be as effective in other lower abdominal surgeries, including inguinal hernia repair, hysterectomy, and open appendectomy.

SOAP 2018