Key result
Continuous bilateral transversus abdominis plane (TAP) block provided an alternative to epidural analgesia and intravenous opioids for a laparotomy patient with multiorgan failure.
Continuous bilateral TAP block may serve as an alternative for postoperative analgesia in patients with multi-organ failure undergoing exploratory laparotomy.
May offer an analgesic option when epidural use is precluded in high-risk laparotomy; leaves open need for prospective validation.
We present as an option for epidural analgesia and intravenous opioid infusion a clinical case of transversus abdominis plane (TAP) block, with bilateral placement of catheter for postoperative analgesia after exploratory laparotomy performed in a patient with previous abdominal surgery and heart, kidney and liver failure.
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Lima et al. (2013) studied this question. Continuous bilateral transversus abdominis plane (TAP) block provided an alternative to epidural analgesia and intravenous opioids for a laparotomy patient with multiorgan failure.
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