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ANESTHESIA ALERT
making it the best approach for
patients undergoing surgery
along the inguinal crease,
including inguinal herniorraphy.
Adapt according to need
There's no clear consensus
regarding the optimal local anesthetic type, dose or volume.
According to a 2010 article
(tinyurl.com/opkzj2k) by Peter
Hebbard, MBBS, FANZCA, the
typical dose of ropivacaine in
adults is 200mg diluted with 0.9%
normal saline. In numerous studies, the volume of local anesthetic administered at each injection
site has been 15 to 25ml. A larger
volume can be used to facilitate
hydrodissection of the neurofascial plane and improve the
spread of the block.
Depending on the type of
abdominal surgical procedure,
you can perform TAP blocks as
either unilateral or bilateral
blocks in both pediatric and adult
patients. You can administer them
in pre-op, after induction of general anesthesia or in recovery as a
THREE CHOICES The subcostal injection site (top) is the best
approach for upper abdominal surgeries. The mid-axillary site
(middle) is ideal for abdominal surgeries below the umbilicus. And
the II/IH site (bottom) works well for patients having surgery
along the inguinal crease.
A U G U S T 2013 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E
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