Transversus abdominis plane catheters for postoperative pain
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Case :

Infant weighing 7 kg was planned for right adrenalectomy. Epidural analgesia was not planned in view of multiple spinal osteolytic lesions. General anesthesia was administered. A right transverse supraumbilical incision was taken for surgical exposure, intraoperative course was uneventful. At closure, a 19G Tuohy needle was placed in between transversus abdominis and internal oblique muscle under ultrasound guidance [Figure 1]. The uniform hydrodissection of the TAP using saline confirmed the placement. A 21G epidural catheter was threaded through the Tuohy's needle to a depth of 2–3 cm. Bupivacaine, 5cc of 0.25%, was given through the catheter after closure and 8 hourly. Coanalgesic included 100 mg of paracetamol and 80 mg of ibuprofen oral every 8 hourly. The child was pain-free and catheter was removed at 72 h. The site was healthy and pain medications continued on a need basis......

http://www.joacp.org/article.asp?issn=0970-9185;year=2017;volume=33;issue=1;spage=121;epage=122;aulast=Bakshi
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