Transversus Abdominis Plane (TAP) Block in A Multimodal Approach to Postoperative Pain Management in a Pediatric Patient for Distal Splenorenal Shunt: A Case Report
Caudal epidural blockade remains the most commonly employed regional block in the pediatric patient. With enhanced safety of ultrasound guidance, there is a trend towards peripheral nerve blockade (PNB).
Few studies have concluded the use of TransversusAbdominisPlane (TAP) block as a good alternative in pediatrics for post op pain control in LOWER abdominal surgeries. There is also paucity of literature regarding use of ultrasound-guided (USG) TAP block in UPPER abdominal surgeries. Available systematic reviews suggest the need for studies assessing the effects of TAP block as part of multimodal analgesia.
We would like to present the use of TAP block in a pediatric with portal hypertension, after a distal splenorenal shunt surgery under general endotracheal anesthesia.