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Web End = Can J Anesth/J Can Anesth (2015) 62:837838
DOI 10.1007/s12630-015-0341-z
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Web End = Transient abdominal motor block after a transversus abdominis plane block in an elderly patient
Andrea Bortolato, MD Carlo Ori, MD
Ulderico Freo, MD
Received: 14 January 2015 / Accepted: 10 February 2015 / Published online: 18 February 2015 Canadian Anesthesiologists Society 2015
To the Editor,
The transversus abdominis plane (TAP) block provides postoperative analgesia after abdominal surgical procedures (i.e., bowel resection, appendectomy, cholecystectomy, hysterectomy, Cesarean delivery).1 The TAP block targets the anterior rami of the T7-L1 thoracolumbar nerves which course between the transversus abdominis and the internal oblique muscle layers.1 The resulting sensory anesthesia of the anterior-lateral abdominal wall results in effective analgesia with few side effects.1-3 Herein, we inform readers of the Journal of an interesting transient complication resulting from this popular block.
The patient provided written consent to publish this report. An 87-yr-old male, American Society of Anesthesiologists physical status class III, underwent emergency surgery for an incarcerated inguinal hernia. An ultrasound-guided TAP block was performed in the mid-axillary line. The patient was given an injection of0.5% ropivacaine...