Transversus Abdominis Plane (TAP) Blocks

CA-2 · I.B.2.d II.B.1.a.3

22Sources
8Kept
0Dropped

1 · Find evidence

PubMed query

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22 candidate papers

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PubMed query

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2 · Teaching points

Source

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8 points

This meta-analysis found that while bilateral erector spinae plane PMID 37987727 kept
This randomised controlled trial found that combining transversus abdominis plane and transversalis fascia plane blocks for cesarean delivery resulted in significantly higher PMID 41408168 kept
This randomised trial found that preincision, single-shot four-quadrant TAP blocks with liposomal bupivacaine, plain bupivacaine, or saline all produced similar opioid consumption and pain scores at 24, 48, and 72 h after major abdominal surgery, suggesting little analgesic benefit from routine use in this mixed population. PMID 41329063 kept
This review notes that while transversus abdominis plane blocks improve postoperative analgesia in bariatric surgery, quadratus lumborum blocks offer longer-lasting pain relief, and anatomical challenges in obese patients necessitate optimized ultrasound guidance for successful block placement. PMID 40407104 kept
This randomized non-inferiority trial found that for kidney transplantation, a combined TAP and rectus sheath block with PCIA maintained higher mean arterial pressure than epidural analgesia while providing non-inferior quality of recovery on POD1. PMID 41277272 kept
This meta-analysis found no significant difference in postoperative pain scores or opioid consumption between ultrasound-guided TAP blocks performed by anesthesiologists and laparoscopic-guided TAP blocks performed by surgeons, though the laparoscopic-guided approach was significantly faster to perform. PMID 39766013 kept
This review found that in laparoscopic inguinal hernia repair, transversus abdominis plane blocks improve postoperative pain and mobility, decrease opiate analgesic usage, and provide superior pain control compared to other regional anesthesia modalities. PMID 37395916 kept
This meta-analysis found that in abdominoplasty, a TAP block is associated with a significantly lower time taken to first analgesic and a lower incidence of postoperative nausea and vomiting (OR 0.18), while total opioid use remains comparable. PMID 38111414 kept

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