title: Analgesic efficacy of transversus abdominis plane block in neonates and early infants for colostomy and reversal of colostomy.
abstract: The application of ultrasound-guided transversus abdominis plane (TAP) block in paediatric population is gaining popularity among anaesthetists. We present a case series of ultrasound-guided TAP block in ten neonate and infants undergoing colostomy and reversal of stoma. Classical TAP as described by Hebbard was carried out and a maximum dosage of 1ml/kg of 0.25% levobupivacaine was injected. Pain score was assessed using Neonatal Infant Pain Scale for 24 hours. In all patients, the block was successful with minimal hemodynamic changes intraoperatively and no additional systemic analgesia was needed intraoperative and immediate postoperatively. Ultrasound-guided TAP block has an important role in providing safe and effective analgesia for colostomy creation and reversal of stoma surgeries in paediatric population.
authors: Department of Anesthesiology, Kuching Specialist Hospital, Kuching, Malaysia.
authors: Chee Kean
authors: CK
authors: Chen
authors: Department of Anesthesiology, Sarawak General Hospital, Kuching, Malaysia.
authors: Shu Ching
authors: SC
authors: Teo
authors: Department of Internal Medicine, Sarawak General Hospital, Kuching, Malaysia.
authors: Vui Eng
authors: VE
authors: Phui
authors: Department of Anesthesiology, Sarawak General Hospital, Kuching, Malaysia.
authors: Mat Ariffin
authors: MA
authors: Saman
mesh_terms: D000009:Abdominal Muscles / Q000000981:diagnostic imaging; D001006:Anus, Imperforate / Q000601:surgery; D003125:Colostomy / Q000009:adverse effects / Q000592:standards*; D006627:Hirschsprung Disease / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D010147:Pain Measurement / Q000379:methods; D010149:Postoperative Pain / Q000517:prevention & control*; D012086:Reoperation; D014463:Ultrasonography