Anesthesiology and Pain Medicine

Published by: Kowsar

Appendectomy Pain Control by Transversus Abdominis Plane (TAP) Block in Children

Mahin Seyedhejazi 1 , Samira Motarabbesoun 1 , Yashar Eslampoor 1 , Nasrin Taghizadieh 1 and Nazanin Hazhir 1 , *
Authors Information
1 Anesthesiology Department, Children's Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
Article information
  • Anesthesiology and Pain Medicine: February 28, 2019, 9 (1); e83975
  • Published Online: February 20, 2019
  • Article Type: Research Article
  • Received: September 5, 2018
  • Revised: November 23, 2018
  • Accepted: November 30, 2018
  • DOI: 10.5812/aapm.83975

To Cite: Seyedhejazi M, Motarabbesoun S, Eslampoor Y, Taghizadieh N, Hazhir N . Appendectomy Pain Control by Transversus Abdominis Plane (TAP) Block in Children, Anesth Pain Med. 2019 ; 9(1):e83975. doi: 10.5812/aapm.83975.

Copyright © 2019, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery. Lancet. 2003;362(9399):1921-8. doi: 10.1016/S0140-6736(03)14966-5. [PubMed: 14667752].
  • 2. Chung F, Ritchie E, Su J. Postoperative pain in ambulatory surgery. Anesth Analg. 1997;85(4):808-16. [PubMed: 9322460].
  • 3. White PF. The role of non-opioid analgesic techniques in the management of pain after ambulatory surgery. Anesth Analg. 2002;94(3):577-85. [PubMed: 11867379].
  • 4. Silvasti M, Svartling N, Pitkanen M, Rosenberg PH. Comparison of intravenous patient-controlled analgesia with tramadol versus morphine after microvascular breast reconstruction. Eur J Anaesthesiol. 2000;17(7):448-55. [PubMed: 10964147].
  • 5. Immer FF, Immer-Bansi AS, Trachsel N, Berdat PA, Eigenmann V, Curatolo M, et al. Pain treatment with a COX-2 inhibitor after coronary artery bypass operation: A randomized trial. Ann Thorac Surg. 2003;75(2):490-5. [PubMed: 12607659].
  • 6. Markar SR, Blackburn S, Cobb R, Karthikesalingam A, Evans J, Kinross J, et al. Laparoscopic versus open appendectomy for complicated and uncomplicated appendicitis in children. J Gastrointest Surg. 2012;16(10):1993-2004. doi: 10.1007/s11605-012-1962-y. [PubMed: 22810297].
  • 7. Hale DA, Molloy M, Pearl RH, Schutt DC, Jaques DP. Appendectomy: A contemporary appraisal. Ann Surg. 1997;225(3):252-61. [PubMed: 9060580]. [PubMed Central: PMC1190674].
  • 8. Shafer A, White PF, Urquhart ML, Doze VA. Outpatient premedication: Use of midazolam and opioid analgesics. Anesthesiology. 1989;71(4):495-501. [PubMed: 2478048].
  • 9. Petersen PL, Mathiesen O, Torup H, Dahl JB. The transversus abdominis plane block: A valuable option for postoperative analgesia? A topical review. Acta Anaesthesiol Scand. 2010;54(5):529-35. doi: 10.1111/j.1399-6576.2010.02215.x. [PubMed: 20175754].
  • 10. Siddiqui MR, Sajid MS, Uncles DR, Cheek L, Baig MK. A meta-analysis on the clinical effectiveness of transversus abdominis plane block. J Clin Anesth. 2011;23(1):7-14. doi: 10.1016/j.jclinane.2010.05.008. [PubMed: 21296242].
  • 11. Kahl C, Cleland JA. Visual analogue scale, numeric pain rating scale and the McGill pain Questionnaire: An overview of psychometric properties. Phys Therap Rev. 2013;10(2):123-8. doi: 10.1179/108331905x55776.
  • 12. Reid SA. The transversus abdominis plane block. Anesth Analg. 2007;105(1):282. author reply 282-3. doi: 10.1213/01.ane.0000261295.16250.4c. [PubMed: 17578993].
  • 13. Seyedhejazi M, Moghadam A, Sharabiani BA, Golzari SE, Taghizadieh N. Success rates and complications of awake caudal versus spinal block in preterm infants undergoing inguinal hernia repair: A prospective study. Saudi J Anaesth. 2015;9(4):348-52. doi: 10.4103/1658-354X.154704. [PubMed: 26543447]. [PubMed Central: PMC4610074].
  • 14. Carney J, Finnerty O, Rauf J, Curley G, McDonnell JG, Laffey JG. Ipsilateral transversus abdominis plane block provides effective analgesia after appendectomy in children: A randomized controlled trial. Anesth Analg. 2010;111(4):998-1003. doi: 10.1213/ANE.0b013e3181ee7bba. [PubMed: 20802056].
  • 15. Findlay JM, Ashraf SQ, Congahan P. Transversus abdominis plane (TAP) blocks-A review. Surgeon. 2012;10(6):361-7. doi: 10.1016/j.surge.2012.07.005. [PubMed: 22975402].
  • 16. Seyedhejazi M, Sheikhzadeh D, Adrang Z, Rashed FK. Comparing the analgesic effect of caudal and ilioinguinal iliohypogastric nerve blockade using bupivacaine-clonidine in inguinal surgeries in children 2-7 years old. Afr J Paediatr Surg. 2014;11(2):166-9. doi: 10.4103/0189-6725.132821. [PubMed: 24841020].
  • 17. Sandeman DJ, Bennett M, Dilley AV, Perczuk A, Lim S, Kelly KJ. Ultrasound-guided transversus abdominis plane blocks for laparoscopic appendicectomy in children: A prospective randomized trial. Br J Anaesth. 2011;106(6):882-6. doi: 10.1093/bja/aer069. [PubMed: 21504934].
  • 18. Wu Y, Liu F, Tang H, Wang Q, Chen L, Wu H, et al. The analgesic efficacy of subcostal transversus abdominis plane block compared with thoracic epidural analgesia and intravenous opioid analgesia after radical gastrectomy. Anesth Analg. 2013;117(2):507-13. doi: 10.1213/ANE.0b013e318297fcee. [PubMed: 23744953].
  • 19. Carney J, McDonnell JG, Ochana A, Bhinder R, Laffey JG. The transversus abdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy. Anesth Analg. 2008;107(6):2056-60. doi: 10.1213/ane.0b013e3181871313. [PubMed: 19020158].
  • 20. Ra YS, Kim CH, Lee GY, Han JI. The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy. Korean J Anesthesiol. 2010;58(4):362-8. doi: 10.4097/kjae.2010.58.4.362. [PubMed: 20508793]. [PubMed Central: PMC2876857].
  • 21. Taylor RJ, Pergolizzi JV, Sinclair A, Raffa RB, Aldington D, Plavin S, et al. Transversus abdominis block: Clinical uses, side effects, and future perspectives. Pain Pract. 2013;13(4):332-44. doi: 10.1111/j.1533-2500.2012.00595.x. [PubMed: 22967210].
  • 22. Heil JW, Ilfeld BM, Loland VJ, Sandhu NS, Mariano ER. Ultrasound-guided transversus abdominis plane catheters and ambulatory perineural infusions for outpatient inguinal hernia repair. Reg Anesth Pain Med. 2010;35(6):556-8. doi: 10.1097/AAP.0b013e3181fa69e9. [PubMed: 20975474].
  • 23. Johns N, O'Neill S, Ventham NT, Barron F, Brady RR, Daniel T. Clinical effectiveness of transversus abdominis plane (TAP) block in abdominal surgery: A systematic review and meta-analysis. Colorectal Dis. 2012;14(10):e635-42. doi: 10.1111/j.1463-1318.2012.03104.x. [PubMed: 22632762].
  • 24. Charlton S, Cyna AM, Middleton P, Griffiths JD. Perioperative transversus abdominis plane (TAP) blocks for analgesia after abdominal surgery. Cochrane Database Syst Rev. 2010;(12). CD007705. doi: 10.1002/14651858.CD007705.pub2. [PubMed: 21154380].
  • 25. Mirza F, Carvalho B. Transversus abdominis plane blocks for rescue analgesia following Cesarean delivery: A case series. Can J Anaesth. 2013;60(3):299-303. doi: 10.1007/s12630-012-9866-6. [PubMed: 23263981].
  • 26. Faiz SHR, Alebouyeh MR, Derakhshan P, Imani F, Rahimzadeh P, Ghaderi Ashtiani M. Comparison of ultrasound-guided posterior transversus abdominis plane block and lateral transversus abdominis plane block for postoperative pain management in patients undergoing cesarean section: A randomized double-blind clinical trial study. J Pain Res. 2018;11:5-9. doi: 10.2147/JPR.S146970. [PubMed: 29296094]. [PubMed Central: PMC5741073].
  • 27. Imani F, Rahimzadeh P, Faiz HR, Abdullahzadeh-Baghaei A. An evaluation of the adding magnesium sulfate to ropivacaine on ultrasound-guided transverse abdominis plane block after abdominal hysterectomy. Anesth Pain Med. 2018;8(4). e74124. doi: 10.5812/aapm.74124. [PubMed: 30250819]. [PubMed Central: PMC6139531].
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments