title: The insiders' experiences with continuous transversus abdominis plane blocks for analgesia after cesarean delivery.
abstract: OBJECTIVE
  Transversus abdominis plane blocks have been recently utilized for analgesia after cesarean delivery. However, little data concerning continuous transversus abdominis plane blocks has been reported in the existing literature. Available studies mainly examine the efficacy of single-injection blocks, and only one small case series has been published regarding continuous blocks for analgesia after cesarean delivery. First-hand experiences and observations of three acute pain medicine specialists who received a continuous transversus abdominis plane block for analgesia after cesarean delivery are presented.
  
  
  METHODS
  Three physicians specialized in acute and perioperative pain medicine personally underwent continuous transversus abdominis plane block placements for analgesia after cesarean delivery via a disposable infusion pump at the same teaching hospital.
  
  
  RESULTS
  In a very motivated, well-supported, and informed patient after uncomplicated cesarean delivery, the use of continuous transversus abdominis plane blocks for analgesia offers the significant advantages of early functional recovery and excellent prolonged analgesia.
  
  
  CONCLUSIONS
  The patients experienced postoperative continuous transversus abdominis plane blocks that seem to be of value in limiting opiate use and improving analgesia with daily activities in the acute postoperative phase after cesarean delivery.
authors.affiliation: Department of Anesthesiology, Division of Acute and Perioperative Pain Medicine, University of Florida College of Medicine, Gainesville, Florida 32610-0254, USA. lle@anest.ufl.edu
authors.forename: Linda
authors.initials: L
authors.lastname: Le-Wendling
authors.forename: Barys
authors.initials: B
authors.lastname: Ihnatsenka
authors.forename: Allison
authors.initials: A
authors.lastname: Haller
authors.forename: Andrea T
authors.initials: AT
authors.lastname: Esch
authors.forename: André P
authors.initials: AP
authors.lastname: Boezaart
mesh_terms: D000009:Abdominal Muscles; D000577:Amides / Q000627:therapeutic use*; D016362:Analgesia, Obstetrical / Q000379:methods*; D000779:Anesthetics, Local / Q000627:therapeutic use*; D017604:Cesarean Section, Repeat / Q000379:methods*; D005260:Female; D018718:Home Infusion Therapy / Q000379:methods*; D006801:Humans; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000188:drug therapy*; D011247:Pregnancy; D000077212:Ropivacaine; D016896:Treatment Outcome
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine