Effect of the Use of TAP and Rectus Sheath Blocks

Jimmy Mena, Mahmoud Sallam

Abstract: Numerous multimodal analgesic methods have been attempted to provide adequate analgesia for upper and lower midline incisions of morphine, reduce peripheral use of morphine, and limit such side effects. Rectus Sheath Block (RSB) is a useful technique for the limited benefit of the elderly. Abdominal surgery, which requires a long midline incision, is associated with severe pain management. The goal of many multimodal analgesic methods is to incorporate appropriate analgesia into some incisions to minimize the maximum use of morphine and thus reduce the side effects. Recent randomized clinical trial (RCT) data suggest that the ultrasonic-guided topical technique may be an effective component of multiple postoperative multimodal postoperative analyzes with limited side effects. Abdominal lateral muscle block (TAP) has become popular in recent years. However, enough blocks to cut the midline above and below the navel are not completely achieved by the TAP block alone. Sensitive blueprint for back TAP block is suggested from T10 to L1, while sub-coastal blocks, TAP-T5 to T9. Therefore, both blocks complement each other and can be used in combination to relieve pain in T5 to L1 classes. Indeed. The use of large amounts of local anesthetic is not safe, so the procedure is considered impractical.

Keywords: TAP, RSB blocks