Oblique Subcostal TAP Block in a Newborn Undergoing Pyloromyotomy: A Case Report
DOI:
https://doi.org/10.25751/rspa.18716Keywords:
Abdominal Muscles; Analgesia; Infant, Newborn; Nerve Block; Pyloromyotomy TAP block; Subcostal oblique approach; Neonatal period; PyloromyotomyAbstract
Abdominal surgery for congenital malformation is a common procedure in the neonatal period. Intra and postoperative analgesia usually involves the administration of systemic opioids and/or regional techniques such as surgical wound infiltration or epidural block. However all these techniques have specific problems in the neonatal period. Oblique subcostal transversus abdominis plane block provides analgesia for the upper abdomen and is regarded as a valid alternative to epidural analgesia for supraumbilical abdominal surgery. Although TAP block does not provide visceral analgesia, it plays a valuable role as a component of a multimodal analgesic approach. It has already been shown to reduce the total dose of opioids and to improve pain scores.
Oblique subcostal TAP block reports in pediatric patients are scarce, especially in newborns, and for this reason the authors believe this case-report is relevant.
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