A Rare Complication of a TAP Block Performed after Caesarean Delivery

Osman Nawazish Salaria, Murlikrishna Kannan, Bryan Kerner, Howard Goldman, Osman Nawazish Salaria, Murlikrishna Kannan, Bryan Kerner, Howard Goldman

Abstract

The transversus abdominis plane block is a regional anesthesia technique that has become popular. Being a relatively simple procedure, the TAP block has an excellent safety profile and major complications are rare. We present a case of transient femoral nerve palsy occurring after a TAP block with involvement of the sacral plexus for a patient who had undergone a caesarean section.

References

    1. Baeriswyl M., Kirkham K. R., Kern C., Albrecht E. The analgesic efficacy of ultrasound-guided transversus abdominis plane block in adult patients: A meta-analysis. Anesthesia & Analgesia. 2015;121(6):1640–1654. doi: 10.1213/ANE.0000000000000967.
    1. Young M. J., Gorlin A. W., Modest V. E., Quraishi S. A. Clinical implications of the transversus abdominis plane block in adults. Anesthesiology Research and Practice. 2012;2012:11. doi: 10.1155/2012/731645.731645
    1. Manatakis D. K., Stamos N., Agalianos C., Karvelis M. A., Gkiaourakis M., Davides D. Transient femoral nerve palsy complicating ‘blind’ transversus abdominis plane block. Case Reports in Anesthesiology. 2013;2013:3. doi: 10.1155/2013/874215.874215
    1. Vial F., Mory S., Guerci P., et al. Evaluating the learning curve for the transversus abdominal plane block: a prospective observational study. Canadian Journal of Anesthesia. 2015;62(6):627–633. doi: 10.1007/s12630-015-0338-7.
    1. Taylor R., Pergolizzi J. V., Sinclair A., et al. Transversus Abdominis Block: Clinical Uses, Side Effects, and Future Perspectives. Pain Practice. 2013;13(4):332–344. doi: 10.1111/j.1533-2500.2012.00595.x.
    1. Lancaster P., Chadwick M. Liver trauma secondary to ultrasound-guided transversus abdominis plane block. British Journal of Anaesthesia. 2010;104(4):509–510. doi: 10.1093/bja/aeq046.
    1. Carney J., McDonnell J. G., Ochana A., Bhinder R., Laffey J. G. The transversus abdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy. Anesthesia & Analgesia. 2008;107(6):2056–2060. doi: 10.1213/ane.0b013e3181871313.
    1. Carney J., Finnerty O., Rauf J., Bergin D., Laffey J. G., Mc Donnell J. G. Studies on the spread of local anaesthetic solution in transversus abdominis plane blocks. Anaesthesia. 2011;66(11):1023–1030. doi: 10.1111/j.1365-2044.2011.06855.x.
    1. Farooq M., Carey M. A case of liver trauma with a blunt regional anesthesia needle while performing transversus abdominis plane block. Regional Anesthesia and Pain Medicine. 2008;33(3):274–275. doi: 10.1016/j.rapm.2007.11.009.

Source: PubMed

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