title: Bilateral transversus abdominis plane block for managing pain after a pancreas transplant.
abstract: The authors report the first clinical application of a bilateral transversus abdominis plane block for treating pain after a pancreas transplant. In this case, a 36-year-old chronic opioid user presented postoperatively with severe incisional pain following a pancreas transplant. The pain was not ameliorated with opioids and was successfully treated with the administration of bilateral transversus abdominis plane blocks with 0.5% ropivicaine. Pain relief lasted for 6 hours.
authors.affiliation: Mayo Clinic Florida, Dept of Anesthesiology, 4500 San Pablo Rd, Jacksonville, FL 32224, USA. aniskevich.stephen2@mayo.edu
authors.forename: Stephen
authors.initials: S
authors.lastname: Aniskevich
authors.forename: Steven R
authors.initials: SR
authors.lastname: Clendenen
authors.forename: Klaus D
authors.initials: KD
authors.lastname: Torp
mesh_terms: D000009:Abdominal Muscles / Q000294:innervation*; D000328:Adult; D000577:Amides / Q000008:administration & dosage*; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000779:Anesthetics, Local / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D009407:Nerve Block; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D016035:Pancreas Transplantation / Q000009:adverse effects*; D000077212:Ropivacaine; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000577:Amides; D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D000077212:Ropivacaine