Akademik Veri Yönetim Sistemi
Minerva Anestesiologica, cilt.83, sa.3, ss.282-287, 2017 (SCI-Expanded, Scopus)
© 2016 EDIZIONI MINERVA MEDICA.BACKGROUND: The effectiveness of the transversus abdominis plane (TA P) block in children has been well characterized in literature. However, there are only few reports about TA P block in the neonates and low birth weight groups. This is a retrospective observational analysis of ultrasound assisted TA P blocks in neonates and young infants. The aim of this study was to analyze retrospectively the analgesic effectiveness of TA P block in neonates and infants undergoing abdominal and inguinal surgeries. METHODS: Thirty-four cases of neonates and infants to (whom) TA P block was applied, were retrospectively analyzed. The TA P block was performed postoperatively in supraumbilical surgeries and preoperatively in infraumbilical surgeries. The TA P block was applied with 0.8 mL/kg-1 of 0.25% bupivacaine in unilateral approach and 1.6 mL/kg-1 of 0.125% bupivacaine in bilateral approach. The CRIES Pain Scale was used for postoperative pain measurement of neonates. RESULTS : The patient's age ranged from 2 to 88 day-old with a mean (SD) of 36.2(24.2). Eleven of them were premature babies. The weight ranged from 1.6 to 5.8 with a mean (SD) of 3.7 kg (1.1). Twenty-nine patients were extubated at the end of the surgery and the other patients within 12 hours. 67.7% infants required no additional postoperative analgesic in 24 hours and none of them required narcotic analgesics. CONCLUSIONS: Our conclusion is that the use of TA P blocks results in low analgesic requirements and a low incidence of postoperative intubation and mechanical ventilation in neonates and infants. It should be considered in this age group of child for postoperative analgesia.