Top Tweets for #TapBlock

8 months ago

TAP or Trap? - Rethinking the True Territory of the Transversus Abdominis Plane Block #BeyondTAP #AbdominalAnalgesia #RegionalAnesthesia #TAPBlock #QuadratusLumborum #QLBlock #EOIP #FascialPlaneBlocks #PainManagement #UGRA #AcutePain #AnatomyMatters #BlockSmart #SomaticVsVisceral #KnowBeforeYouBlock #MyRATips #TipOfTheDay Tip of the Day: ✨ The Transversus Abdominis Plane (TAP) block is often perceived as a comprehensive abdominal wall block. ✨ Anatomically and clinically, however, its coverage is selective, variable, and frequently incomplete. Let’s decode it logically. 🧠 Segmental - Not Complete Dermatomal Coverage 🔹 Targets anterior rami of T6–L1 within the fascial plane 🔹 Spread is plane-dependent and inconsistent 🔹 Neural branching forms a TAP plexus → dermatomal predictability drops 🔹 Upper abdominal coverage (T6–T9) is unreliable ➡️ Reality: Partial somatic sensory block - not uniform dermatomal anesthesia. 🧩 Medial Sparing - The Rectus Sheath Gap 🔹 Anterior Cutaneous Nerves (ACNs) pierce the posterior rectus sheath 🔹 TAP does not reliably block ACNs 🔹 Midline analgesia requires Rectus Sheath Block 🔹 “Medial escape zone” phenomenon ➡️ Reality : Without RSB, central abdominal wall remains inadequately covered. ⚡ Lateral Cutaneous Nerve Escape 🔹 Lateral cutaneous branches exit early from the neurovascular plane 🔹 Standard lateral TAP frequently spares them 🔹 Posterior TAP improves but does not guarantee coverage ➡️ Reality : Lateral abdominal wall analgesia may be incomplete. 💪 Muscle Innervation Overlap - No True Motor Promise 🔹 Abdominal wall muscles have overlapping segmental innervation 🔹 Blocking selected segments ≠ muscle paralysis 🔹 TAP is primarily sensory ➡️ Reality: It is not a muscle relaxation technique. 🔥 No Visceral Analgesia 🔹 Blocks somatic afferents only 🔹 Visceral pain travels via sympathetic & splanchnic pathways 🔹 Peritoneal stretch & bowel manipulation remain untouched ➡️ Reality: Not adequate as a standalone block for intra-abdominal surgery. 🤔 So Why Consider TAP at All? Because it still has value, when chosen rationally. ✅ Superficial abdominal wall procedures ✅ Part of multimodal analgesia ✅ When neuraxial is contraindicated ✅ To reduce opioid requirement ✅ When combined strategically (RSB + posterior TAP) 🎯 Decision Lens 🔹 Lower abdominal superficial → TAP acceptable 🔹 Upper abdominal → EOIP preferred 🔹 Mixed somatic + visceral → QL more rational 🔹 Major open abdominal → Epidural still gold standard 🔑 Take-Home ✨ TAP is not wrong - it is simply limited. ✨ It is a plane block, not a pan-abdominal solution. ✨ Choose based on pain source: somatic vs visceral vs mixed.

KartikBSonawane's tweet photo. TAP or Trap? - Rethinking the True Territory of the Transversus Abdominis Plane Block

#BeyondTAP #AbdominalAnalgesia #RegionalAnesthesia #TAPBlock #QuadratusLumborum #QLBlock #EOIP #FascialPlaneBlocks #PainManagement #UGRA #AcutePain #AnatomyMatters #BlockSmart #SomaticVsVisceral #KnowBeforeYouBlock
#MyRATips #TipOfTheDay

Tip of the Day:

✨ The Transversus Abdominis Plane (TAP) block is often perceived as a comprehensive abdominal wall block.

✨ Anatomically and clinically, however, its coverage is selective, variable, and frequently incomplete. Let’s decode it logically.

🧠 Segmental - Not Complete Dermatomal Coverage

🔹 Targets anterior rami of T6–L1 within the fascial plane
🔹 Spread is plane-dependent and inconsistent
🔹 Neural branching forms a TAP plexus → dermatomal predictability drops
🔹 Upper abdominal coverage (T6–T9) is unreliable

➡️ Reality: Partial somatic sensory block - not uniform dermatomal anesthesia.

🧩 Medial Sparing - The Rectus Sheath Gap

🔹 Anterior Cutaneous Nerves (ACNs) pierce the posterior rectus sheath
🔹 TAP does not reliably block ACNs
🔹 Midline analgesia requires Rectus Sheath Block
🔹 “Medial escape zone” phenomenon

➡️ Reality : Without RSB, central abdominal wall remains inadequately covered.

⚡ Lateral Cutaneous Nerve Escape

🔹 Lateral cutaneous branches exit early from the neurovascular plane
🔹 Standard lateral TAP frequently spares them
🔹 Posterior TAP improves but does not guarantee coverage

➡️ Reality : Lateral abdominal wall analgesia may be incomplete.

💪 Muscle Innervation Overlap - No True Motor Promise

🔹 Abdominal wall muscles have overlapping segmental innervation
🔹 Blocking selected segments ≠ muscle paralysis
🔹 TAP is primarily sensory

➡️ Reality: It is not a muscle relaxation technique.

🔥 No Visceral Analgesia

🔹 Blocks somatic afferents only
🔹 Visceral pain travels via sympathetic & splanchnic pathways
🔹 Peritoneal stretch & bowel manipulation remain untouched

➡️ Reality: Not adequate as a standalone block for intra-abdominal surgery.

🤔 So Why Consider TAP at All?

Because it still has value, when chosen rationally.

✅ Superficial abdominal wall procedures
✅ Part of multimodal analgesia
✅ When neuraxial is contraindicated
✅ To reduce opioid requirement
✅ When combined strategically (RSB + posterior TAP)

🎯 Decision Lens

🔹 Lower abdominal superficial → TAP acceptable
🔹 Upper abdominal → EOIP preferred
🔹 Mixed somatic + visceral → QL more rational
🔹 Major open abdominal → Epidural still gold standard

🔑 Take-Home

✨ TAP is not wrong - it is simply limited.
✨ It is a plane block, not a pan-abdominal solution.
✨ Choose based on pain source: somatic vs visceral vs mixed.

Dr.Kartik Sonawane

@KartikBSonawane

9 months ago

🚀 “Fascial Highways, Not Magic Shots” - Take-Home Messages from Decoding QL Blocks #RegionalAnesthesia #PainMedicine #UltrasoundGuided #FascialPlaneBlocks #QuadratusLumborumBlock #QLB #ThoracolumbarFascia #TLF #TransmuscularQLB #AnteriorQLB #PosteriorQLB #TAPBlock #AbdominalWallAnalgesia 🧭 QLB is TAP’s evolved cousin: TAP mainly stays in the TAP plane (somatic abdominal wall), while QLB tries to “borrow” deeper fascial continuities to extend coverage. 🕸️ The thoracolumbar fascia (TLF) is the real engine: QLB success is governed more by fascial architecture than by “which nerve you think you’re blocking.” 🛣️ Anterior TLF = the main ‘fascial highway’: It connects laterally to transversalis fascia, medially to psoas fascia, and cranially toward endothoracic fascia- explaining why deeper approaches can sometimes go broader (and occasionally visceral). 🎯 If you want broader + more predictable spread, think “anterior/transmuscular”: The review highlights why anterior approaches more consistently access paravertebral/lumbar plexus corridors than superficial/lateral techniques. 🧱 Lateral & posterior QLB = reliable somatic analgesia (mostly): Great for flank/lateral wall pain, but don’t expect consistent visceral cover. 🔬 T12→L1 transition is the clinical ‘game-changer’: At/after L1, the psoas is more evident and the lumbar plexus starts forming- helping explain why anterior QLB at/below L1 can be more extensive. 🧠 Stop teaching the wrong nerve story: Lumbar plexus nerves don’t just “enter the TAP.” That common schematic error leads to unrealistic expectations from TAP/lateral QLB. 🧩 Anterior QLB isn’t one block-it’s multiple sub-compartments: Small needle-tip shifts can redirect spread cranial/medial/posterior and change what you get clinically. 🔼 Want upper abdominal + possible visceral component? Aim for the plane that favors cranial tracking along endothoracic continuity (subcostal/anterior variants are built for this logic). 🧷 Technique selection should be indication-driven: Lateral/posterior for somatic flank; anterior/CPPB when you need deeper/lumbar plexus or broader abdominal–pelvic coverage. ⚠️ Safety isn’t optional - anterior is closer to neuraxis/lumbar plexus: Higher risk of unintended neuraxial spread if volume/plane is wrong; lateral variants risk peritoneal/retroperitoneal breach, so dynamic US, incremental injection, and vigilance matter. 📌 Bottom line: QLB outcomes vary because anatomy + fascial compliance + injection dynamics vary - so reproducibility comes from precise plane selection, not from “QLB label” alone. Read in details: Indian Journal of Anaesthesia https://t.co/CHRCwW6HR0

KartikBSonawane's tweet photo. 🚀 “Fascial Highways, Not Magic Shots” - Take-Home Messages from Decoding QL Blocks

#RegionalAnesthesia #PainMedicine #UltrasoundGuided #FascialPlaneBlocks #QuadratusLumborumBlock #QLB #ThoracolumbarFascia #TLF #TransmuscularQLB #AnteriorQLB #PosteriorQLB #TAPBlock #AbdominalWallAnalgesia

🧭 QLB is TAP’s evolved cousin:
TAP mainly stays in the TAP plane (somatic abdominal wall), while QLB tries to “borrow” deeper fascial continuities to extend coverage.

🕸️ The thoracolumbar fascia (TLF) is the real engine:
QLB success is governed more by fascial architecture than by “which nerve you think you’re blocking.”

🛣️ Anterior TLF = the main ‘fascial highway’:
It connects laterally to transversalis fascia, medially to psoas fascia, and cranially toward endothoracic fascia- explaining why deeper approaches can sometimes go broader (and occasionally visceral).

🎯 If you want broader + more predictable spread, think “anterior/transmuscular”:
The review highlights why anterior approaches more consistently access paravertebral/lumbar plexus corridors than superficial/lateral techniques.

🧱 Lateral & posterior QLB = reliable somatic analgesia (mostly):
Great for flank/lateral wall pain, but don’t expect consistent visceral cover.

🔬 T12→L1 transition is the clinical ‘game-changer’:
At/after L1, the psoas is more evident and the lumbar plexus starts forming- helping explain why anterior QLB at/below L1 can be more extensive.

🧠 Stop teaching the wrong nerve story:
Lumbar plexus nerves don’t just “enter the TAP.” That common schematic error leads to unrealistic expectations from TAP/lateral QLB.

🧩 Anterior QLB isn’t one block-it’s multiple sub-compartments: Small needle-tip shifts can redirect spread cranial/medial/posterior and change what you get clinically.

🔼 Want upper abdominal + possible visceral component?
Aim for the plane that favors cranial tracking along endothoracic continuity (subcostal/anterior variants are built for this logic).

🧷 Technique selection should be indication-driven:
Lateral/posterior for somatic flank; anterior/CPPB when you need deeper/lumbar plexus or broader abdominal–pelvic coverage.

⚠️ Safety isn’t optional - anterior is closer to neuraxis/lumbar plexus:
Higher risk of unintended neuraxial spread if volume/plane is wrong; lateral variants risk peritoneal/retroperitoneal breach, so dynamic US, incremental injection, and vigilance matter.

📌 Bottom line:
QLB outcomes vary because anatomy + fascial compliance + injection dynamics vary - so reproducibility comes from precise plane selection, not from “QLB label” alone.

Read in details:
Indian Journal of Anaesthesia https://t.co/CHRCwW6HR0

Anesthesiology News

@anesthesianews

12 months ago

New research finds ultrasound-guided TAP blocks can safely reduce pain, opioid use, and hospital stays for acute pancreatitis patients in the ER. Breathe easy with this groundbreaking treatment! #TAPBlock #PainManagement #MedicalInnovation https://t.co/NrmkdHsR2v

anesthesianews's tweet photo. New research finds ultrasound-guided TAP blocks can safely reduce pain, opioid use, and hospital stays for acute pancreatitis patients in the ER. Breathe easy with this groundbreaking treatment! #TAPBlock #PainManagement #MedicalInnovation https://t.co/NrmkdHsR2v https://t.co/So3MpOC6ZQ

629

DailyMedicalinfo ديلي ميديكال انفو

@DMedicalinfo

over 1 year ago

ظهرت تقنيات جديدة للحد من الشعور بالأ��م بعد العمليات الجراحية مثل تقنية #تاب_بلوك، تعرف عليها من هنا: #dailymedicalinfo #TAPBlock https://t.co/PGqssdXZHN

Dr.Kartik Sonawane

@KartikBSonawane

over 1 year ago

🔥🫁 "Pain at the Core: On-Arrival Blocks for Chest and Abdomen" 🧍‍♂️🛡️ #PainAtTheCore #OnArrivalBlock #TruncalAnalgesia #ChestWallBlock #AbdominalBlock #RegionalAnesthesia #ESPBlock #TAPBlock #SAPBlock #UltrasoundGuidedRA #PointOfCareBlocks #OnArrivalRA #TipoftheDay #MyRATips Tip of the Day: 🟦 Why FOCUS on Truncal Pain Early? 🫁 Chest and abdominal injuries often compromise vital functions - especially breathing, coughing, and cooperation. 🔥 Pain in these regions is often deep, diffuse, and distressing, and opioids alone may not suffice or may cause respiratory depression. 🛠️ Regional blocks offer site-specific, opioid-sparing relief that improves immediate care and downstream outcomes. 🟨 CLINICAL GOALS of Truncal On-Arrival Blocks 🫁 Restore respiratory efficiency (chest trauma, rib fractures) 🚑 Facilitate imaging, positioning, and transport 🧘 Relax abdominal guarding (peritonitis, pancreatitis) 📉 Reduce sympathetic overdrive in trauma 🫱 Enhance cooperation for procedures or airway planning 🟫 COMMON INDICATIONS 🟦 Chest Wall: Rib fractures (especially multiple) Flail chest Post-thoracostomy or chest tube placement Chest wall contusions in blunt trauma 🟨 Upper Abdomen: Blunt abdominal trauma Acute pancreatitis Upper GI perforation or distension Postoperative laparotomy or laparoscopy pain 🟧 Lower Abdomen: Inguinal hernia (painful or strangulated) Appendicitis with guarding Abdominal wall hematomas or incisional pain 🟪 BEST CHOICES 🫁 For Chest Wall Injuries: ESPB, SAPB, or ICNB. Provide broad dermatomal coverage. Safe to perform away from critical structures like the pleura. Ideal for rib fractures, flail chest, and chest tube insertion pain. 🧼 For Upper Abdominal Pain: ESPB at T6–T9 levels or TAP Block. Relieve guarding and improve respiratory effort in conditions like pancreatitis or blunt abdominal trauma. 🧩 For Lower Abdominal Conditions: TAP Block, RSB, IIN/IHN Block. Provide localized anterior abdominal wall analgesia. Suitable for inguinal hernia, appendicitis, or post-incisional pain. 🟥 ESPB: CHAMPION? ✅ Superficial and safe (away from pleura/major vessels) ✅ Wide craniocaudal spread ✅ Suitable for non-sterile or semi-sterile environments ✅ Excellent for rib fractures and abdominal wall pain ✅ Can be done quickly with or without USG 🟧 KEY PEARLS 🧼 Basic aseptic precautions suffice in emergency use 🩻 USG is ideal but can be landmark-based if skilled 🧾 Document block site, volume, drug, and response ⏱️ Reassess for conversion to longer-acting block or catheter if needed 🟫 CHEST WALL BLOCKS: RULE “Hit the Rib, Deposit the Drug” 🔹Deep SAP Block – Needle hits the rib, inject deep to serratus 🔹External Oblique Intercostal Plane Block – Target rib at anterior/mid-axillary line, inject above EO 🔹Parasternal Block – Identify rib near sternum, inject in intercostal plane 🎯A safe, reproducible approach - perfect for emergency or limited-resource settings. 🟨 ABDOMINAL WALL BLOCKS: RULE “Follow the Muscle, Find the Plane” 🔹TAP Block – Feel or visualize the abdominal wall → insert between internal oblique & transversus abdominis 🔹Rectus Sheath Block – Palpate the rectus muscle → inject posterior to it, above posterior sheath 🔹Ilioinguinal/Iliohypogastric Block – Palpate ASIS → inject in plane between internal oblique and transversus abdominis near the iliac crest 🎯Key Tip: Identify the muscle → follow its plane → deposit where spread flows freely. ✅Reliable, reproducible, and effective for anterior abdominal wall analgesia. "When pain impairs breathing or masks diagnosis, a timely On-Arrival Block for the trunk may be your best intervention - not just for comfort, but for survival."

$KartikBSonawane's tweet photo. 🔥🫁 "Pain at the Core: On-Arrival Blocks for Chest and Abdomen" 🧍‍♂️🛡️ #PainAtTheCore #OnArrivalBlock #TruncalAnalgesia #ChestWallBlock #AbdominalBlock #RegionalAnesthesia #ESPBlock #TAPBlock #SAPBlock #UltrasoundGuidedRA #PointOfCareBlocks #OnArrivalRA #TipoftheDay #MyRATips Tip of the Day: 🟦 Why FOCUS on Truncal Pain Early? 🫁 Chest and abdominal injuries often compromise vital functions - especially breathing, coughing, and cooperation. 🔥 Pain in these regions is often deep, diffuse, and distressing, and opioids alone may not suffice or may cause respiratory depression. 🛠️ Regional blocks offer site-specific, opioid-sparing relief that improves immediate care and downstream outcomes. 🟨 CLINICAL GOALS of Truncal On-Arrival Blocks 🫁 Restore respiratory efficiency (chest trauma, rib fractures) 🚑 Facilitate imaging, positioning, and transport 🧘 Relax abdominal guarding (peritonitis, pancreatitis) 📉 Reduce sympathetic overdrive in trauma 🫱 Enhance cooperation for procedures or airway planning 🟫 COMMON INDICATIONS 🟦 Chest Wall: Rib fractures (especially multiple) Flail chest Post-thoracostomy or chest tube placement Chest wall contusions in blunt trauma 🟨 Upper Abdomen: Blunt abdominal trauma Acute pancreatitis Upper GI perforation or distension Postoperative laparotomy or laparoscopy pain 🟧 Lower Abdomen: Inguinal hernia (painful or strangulated) Appendicitis with guarding Abdominal wall hematomas or incisional pain 🟪 BEST CHOICES 🫁 For Chest Wall Injuries: ESPB, SAPB, or ICNB. Provide broad dermatomal coverage. Safe to perform away from critical structures like the pleura. Ideal for rib fractures, flail chest, and chest tube insertion pain. 🧼 For Upper Abdominal Pain: ESPB at T6–T9 levels or TAP Block. Relieve guarding and improve respiratory effort in conditions like pancreatitis or blunt abdominal trauma. 🧩 For Lower Abdominal Conditions: TAP Block, RSB, IIN/IHN Block. Provide localized anterior abdominal wall analgesia. Suitable for inguinal hernia, appendicitis, or post-incisional pain. 🟥 ESPB: CHAMPION? ✅ Superficial and safe (away from pleura/major vessels) ✅ Wide craniocaudal spread ✅ Suitable for non-sterile or semi-sterile environments ✅ Excellent for rib fractures and abdominal wall pain ✅ Can be done quickly with or without USG 🟧 KEY PEARLS 🧼 Basic aseptic precautions suffice in emergency use 🩻 USG is ideal but can be landmark-based if skilled 🧾 Document block site, volume, drug, and response ⏱️ Reassess for conversion to longer-acting block or catheter if needed 🟫 CHEST WALL BLOCKS: RULE “Hit the Rib, Deposit the Drug” 🔹Deep SAP Block – Needle hits the rib, inject deep to serratus 🔹External Oblique Intercostal Plane Block – Target rib at anterior/mid-axillary line, inject above EO 🔹Parasternal Block – Identify rib near sternum, inject in intercostal plane 🎯A safe, reproducible approach - perfect for emergency or limited-resource settings. 🟨 ABDOMINAL WALL BLOCKS: RULE “Follow the Muscle, Find the Plane” 🔹TAP Block – Feel or visualize the abdominal wall → insert between internal oblique & transversus abdominis 🔹Rectus Sheath Block – Palpate the rectus muscle → inject posterior to it, above posterior sheath 🔹Ilioinguinal/Iliohypogastric Block – Palpate ASIS → inject in plane between internal oblique and transversus abdominis near the iliac crest 🎯Key Tip: Identify the muscle → follow its plane → deposit where spread flows freely. ✅Reliable, reproducible, and effective for anterior abdominal wall analgesia. "When pain impairs breathing or masks diagnosis, a timely On-Arrival Block for the trunk may be your best intervention - not just for comfort, but for survival."$

Dr.Kartik Sonawane

@KartikBSonawane

over 1 year ago

“🦴 From Skin to Capsule: Smart Blocks for Every Hip Cut!” #THR #RegionalAnesthesia #PENGblock #FICB #QLblock #TAPblock #LFCNblock #SmartAnalgesia #PostOpPain #OrthoAnesthesia #TipoftheDay #MyRATips Tip of the Day: The key to Post-op analgesia after Total Hip Replacement? Block what matters—based on Surgical approach & Innervation. ▶️ Anterior Approach 🔹 Joint Capsule (Anterior) – Use PENG block (targets FN, ON, AON) 🔹 Skin – Upper Incision – Subcostal (T12), Iliohypogastric (L1) – Add TAP (subcostal/lateral) or QL block (Type 1/2) 🔹 Skin – Mid/Lower Incision – IIN, GFN, LFCN → Block with FICB, TFP, or LFCN block ▶️ Anterolateral Approach 🔹 Joint Capsule (Anterior & Lateral) – Covered well by PENG block 🔹 Skin – Mostly LFCN, ± IIN/GFN – Use FICB or LFCN block – If upper extension → add TAP/QL ▶️ Posterolateral Approach 🔹 Joint Capsule (Posterior) – Minimally nociceptive → No sciatic block needed – Use PENG for anterior capsule 🔹 Skin – Upper Incision – T12, L1 (Subcostal, IHG) → TAP/QL block 🔹 Skin – Lower Incision – LFCN → Use LFCN block or high-volume FICB ▶️ Local Anesthetic Strategy 🧪 Type: Ropivacaine 0.2–0.25%, Bupivacaine 0.125–0.25% 💉 Volumes: – PENG: 20 mL – FICB: 30–40 mL – TAP/QL: 20–30 mL – LFCN: 5–10 mL My go-to hierarchy for THR analgesia: QLB > FICB > PENG + LFCN "Block smart. Incision-specific. Capsule-aware. Approach-adapted."

KartikBSonawane's tweet photo. “🦴 From Skin to Capsule: Smart Blocks for Every Hip Cut!”

#THR #RegionalAnesthesia #PENGblock #FICB #QLblock #TAPblock #LFCNblock #SmartAnalgesia #PostOpPain #OrthoAnesthesia
#TipoftheDay
#MyRATips

Tip of the Day:

The key to Post-op analgesia after Total Hip Replacement?

Block what matters—based on Surgical approach & Innervation.

▶️ Anterior Approach

🔹 Joint Capsule (Anterior)
– Use PENG block (targets FN, ON, AON)

🔹 Skin – Upper Incision
– Subcostal (T12), Iliohypogastric (L1)
– Add TAP (subcostal/lateral) or QL block (Type 1/2)

🔹 Skin – Mid/Lower Incision
– IIN, GFN, LFCN → Block with FICB, TFP, or LFCN block

▶️ Anterolateral Approach

🔹 Joint Capsule (Anterior & Lateral)
– Covered well by PENG block

🔹 Skin
– Mostly LFCN, ± IIN/GFN
– Use FICB or LFCN block
– If upper extension → add TAP/QL

▶️ Posterolateral Approach

🔹 Joint Capsule (Posterior)
– Minimally nociceptive → No sciatic block needed
– Use PENG for anterior capsule

🔹 Skin – Upper Incision
– T12, L1 (Subcostal, IHG) → TAP/QL block

🔹 Skin – Lower Incision
– LFCN → Use LFCN block or high-volume FICB

▶️ Local Anesthetic Strategy

🧪 Type:
Ropivacaine 0.2–0.25%, Bupivacaine 0.125–0.25%

💉 Volumes:
– PENG: 20 mL
– FICB: 30–40 mL
– TAP/QL: 20–30 mL
– LFCN: 5–10 mL

My go-to hierarchy for THR analgesia:

QLB > FICB > PENG + LFCN

"Block smart.
Incision-specific.
Capsule-aware.
Approach-adapted."

Regional Anesthesia & Pain Medicine @RAPMOnline

over 1 year ago

🧪 What does epinephrine do to ropivacaine during a TAP block? In this RCT, Rozier et al. found: ✔️ No change in Cmax ⏱️ Delayed Tmax 📉 Lower Cmean ❤️ No toxicity 🔗 Read all about this study here: https://t.co/9zxxZlNlHE #RAPM #TAPBlock #Anesthesia #Epinephrine

RAPMOnline's tweet photo. 🧪 What does epinephrine do to ropivacaine during a TAP block?

In this RCT, Rozier et al. found:

✔️ No change in Cmax
⏱️ Delayed Tmax
📉 Lower Cmean
❤️ No toxicity

🔗 Read all about this study here: https://t.co/9zxxZlNlHE

#RAPM #TAPBlock #Anesthesia #Epinephrine https://t.co/thoH6rN4eb

DailyMedicalinfo ديلي ميديكال انفو

@DMedicalinfo

over 1 year ago

مع التقدم الطبي المذهل، ظهرت تقنيات ج��يدة للحد من الشعور بالألم بعد العمليات الجراحية مثل تقنية #تاب_بلوك .. تعرف على هذه التقنية بالتفصيل من هنا: #dailymedicalinfo #TapBlock https://t.co/7gP2qxtloh

DailyMedicalinfo ديلي ميديكال انفو

@DMedicalinfo

over 1 year ago

مع التقدم الطبي المذهل، ظهرت تقنيات جديدة للحد من الشعور بالألم بعد العمليات الجراحية مثل تقنية #تاب_بلوك، وسنتعرف عليها في هذا المقال #dailymedicalinfo #TAPBlock https://t.co/PGqssdXrSf

Gregg Nelson @GreggNelsonERAS

about 2 years ago

Pro vs Con #ERAS debates 🥊 with @BonaldoGiulio and @Pan_Teresa_MD #carbload #TAPblock #drains @ErasSociety @pedroramirezMD

GreggNelsonERAS's tweet photo. Pro vs Con #ERAS debates 🥊 with @BonaldoGiulio and @Pan_Teresa_MD #carbload #TAPblock #drains @ErasSociety @pedroramirezMD https://t.co/C710n8Vy2D

Montse @montsevarsa

about 2 years ago

Administering TAP blocks significantly decrease opioid requirements and shorten hospital stays for patients undergoing minimally invasive hysterectomy @AAGLJMIG #jmigjc #PainManagement #TAPBlock

232

DailyMedicalinfo ديلي ميديكال انفو

@DMedicalinfo

over 2 years ago

مع التقدم الطبي المذهل، ظهرت تقنيات جديدة للحد من الشعور بالألم بعد العمليات الجراحية مثل تقنية #تاب_بلوك .. تعرف على هذه التقنية بالتفصيل من هنا: #dailymedicalinfo #TapBlock https://t.co/7gP2qxtTdP

DailyMedicalinfo ديلي ميديكال انفو

@DMedicalinfo

over 2 years ago

مع التقدم الطبي المذهل، ظهرت تقنيات جديدة للحد من الشعور بالألم بعد العمليات الجراحية مث�� تقنية #تاب_بلوك .. تعرف على هذه التقنية بالتفصيل من هنا: #dailymedicalinfo #TapBlock https://t.co/7gP2qxtTdP

Dr. Naveen Eipe, MD @NaveenEipe

over 2 years ago

@dr_tgro @beckimarshRA @ajrmacfarlane @DrRobbieErskine @PeterMerjavy @womackjonathan @amit_pawa @AminaBenyoucef5 @davidleegumd @UCI_Urology @IntuitiveSurg @pennsurgery @AR_Jarrar More evidence for Laparoscopic assisted transversus abdominis plane #TAPblock (vs ultrasound guided) in laparoscopic #BariatricSurgery Ping @AR_Jarrar @AdeleBudiansky HT: Algyar MF, Abdelsamee KS. BMC Anesthesiol 2024 https://t.co/rz428Yhd9s

120

DailyMedicalinfo ديلي ميديكال انفو

@DMedicalinfo

over 2 years ago

DailyMedicalinfo ديلي ميديكال انفو

@DMedicalinfo

over 2 years ago

تعد الأيام الأولى بعد الخضوع لأي عملية جراحية من أصعب الأيام التي تمر ببطء على صاحبها.. ولأن التكنولوجيا تأتينا بكل جديد تعرف على حقنة #تاب_بلوك للتخدير بعد جراحات البطن: #dailymedicalinfo #tapblock https://t.co/7gP2qxtTdP

DailyMedicalinfo ديلي ميديكال انفو

@DMedicalinfo

almost 3 years ago

ظهرت تقنيات جديدة للحد من الشعور بالألم بعد العمليات الجراحية مثل تقنية #تاب_بلوك، وسنتعرف عليها في المقال التالي بشيء من التفصي�� #dailymedicalinfo #TAPBlock https://t.co/PGqssdXrSf

Burhan DOST, MD @unestezist

almost 3 years ago

Pre-operative vs. postoperative TAP block ⚡️ 👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻 #regionalanesthesia #tapblock #cholecystectomy #pain #metaanalysis @SerkanTulgarMD @DecassaiMD @BMC_series @SpringerNature https://t.co/EAY0AL1qtO

unestezist's tweet photo. Pre-operative vs. postoperative TAP block ⚡️

👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻

#regionalanesthesia #tapblock #cholecystectomy #pain #metaanalysis

@SerkanTulgarMD @DecassaiMD @BMC_series @SpringerNature

https://t.co/EAY0AL1qtO https://t.co/IRoBFnI7Dq

DailyMedicalinfo ديلي ميديكال انفو

@DMedicalinfo

almost 3 years ago

DailyMedicalinfo ديلي ميديكال انفو

@DMedicalinfo

about 3 years ago

يتزا��د الشعور ب #الألم في موضع الجرح والشعور بالتعب العام بعد الخضوع لأي عملية جراحية بصفة عامة.. تعرف على تقنية #تاب_بلوك للتخدير بعد جراحات البطن بالتفصيل من هنا: #dailymedicalinfo #TapBlock https://t.co/7gP2qxtloh

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