Ultrasound Guided Transversus Abdominis Plane (TAP) Block

In this video we discuss the anatomy, sononanatomy, and indications for the ultrasound guided transversus abdominis plane (TAP) block, as well as offer some tips and tricks for block success

[@stephenchiuyang]

these videos are the regional anesthesia teaching I never had in residency. thank you!!!!

[@badassnewbie]

I can't believe it took me this long to find this channel. I wish I had this during residency, this channel has been completely demystifying blocks and regional anesthesia for me. NYSORA is great, but sometimes doesn't feel as "user friendly" as all the content on this channel. MASSIVE kudos.

[@regionalanesthesiology]

Thanks so much for the kind words-glad you find the content useful!! 🙏

[@Dr.Twisty]

Awesome job! I love how you “inject” humor in your teaching. Fantastic!

[@loc2811]

These videos are GOLD. So well done.

[@iPizzaHead]

A tool that almost every anesthesiologist should know

[@user-fb3cz2ek2x]

best videos for block...thank you for your great guidance

[@rafidoctor]

Best video on TAP block till now !!

[@armuk]

@@regionalanesthesiology please add a video on subcostal TAP block to your pipeline if not already planned. many thanks for the excellent RA content, best on KZbin!

[@arrahman6876]

Excellent video .And excellent explaintion about TAP block.And beautiful way of English speaking .Thankyou sir you are too Good.👍👍❤️❤️

[@dhandapani9870]

Thank you so much. You’re such a blessing😊

[@kulegodwinkaburuma8008]

Thank you so much for this elaborate videos. My hospital lacks the USS; so we use landmark technique; blind block

[@armuk]

please do a video on subcostal TAP block (if not already planned). many thanks for the excellent RA content, best on KZbin!

[@HS-ed3dz]

Excellent, thanks.

[@younsil9767]

Your key points are the 'most opening' keys of all

[@lewispenn9896]

excellent tips summary in the end

[@lucianemicheletti3999]

Excelente vídeo

[@verooom_96]

This was really good! Thank you!

[@regionalanesthesiology]

Appreciate it! Thanks for watching!

[@haliShanna]

It is the best out there . Tnx..

[@szu2d]

Thank you

[@ariakowsarian9057]

Well done

[@user-cx2rl8hd5r]

Love this channel do you have any research that show better results from the way you perform the tap block in comparison with the danish study

[@SamtaniPradeep]

Pls make one video describing all types of TAP blocks

[@mhoudmonier786]

Very good

[@vasiliypukinvasiliypukin5720]

Thank you for your, as usual, excellent explanation. I have one question. You inject LA between IO and fascia. At the same time on another sources LA is injected between fascia and TA. Which approach is better and why? Thank you in advance.

[@ronizabasri2752]

@@regionalanesthesiology Great tips...very helpful in my practice

[@maheshagrawal3328]

Good one

[@kostasva843]

Is it better if we do the block horizontally at the point where all 3 muscles are seen and not vertikally like you showed (i m doing it as you showed it but I ve read a study where they had better spread like that)

[@SamtaniPradeep]

What is difference in the coverage of posterior and lateral tap?? Are they same with just site of injection being different??

[@Heather-mv7pz]

What length needle do you use? I sometimes run out of needle

[@zainebbaayou8631]

I wonder if any vascular injury will happend during this procedure

[@SamtaniPradeep]

Sir In the video you have demonstrated posterior TAP??

[@ravindarbethi8675]

Kindly edit the transcript . It has no punctuation marks. Also there are spelling errors that makes one difficult to catch the new terms of technology. All this is probably due to auto-generated text. KZbin too must develop auto-punctuation, automatic capitalisation, and continuous updating of technical terms. Thank you so much. The is otherwise a must watch video. Excellent, and very much informative, even to the people of non-native English.

[@uramalakia]

I didn't appreciate You ragging on high fiving each other after performing a block. I find it to be a quintessential part of the process.

[@regionalanesthesiology]

Haha, I agree!! I read somewhere that high-fiving the team after a block increases success rates by 300%…or something like that. Either way, it’s a mandatory part of our workflow…

[@nicolassaliba7205]

I got a sizable hematoma (tracking from the point of insertion to fill the space under the recti on each side of the lower abdomen) so clinician be aware.

[@regionalanesthesiology]

Thanks for the comment. Yes, agree, something to watch for. The inferior epigastric vessels are surprisingly large (and therefore at risk) but can be missed on ultrasound. I always turn on the color Doppler to double-check before inserting the needle.

[@anditaqwaPainFree]

how much volume local anesthetic?

[@kosshii]

20-30 ml per side

[@GeneCircuit]

In your experience, for whipples, ex lap procedures, open AAA, with long midline incisions, if you were to do a TAP, would you perform 4 quadrants rather than a traditional bilateral TAPs (assuming the institution only prefers TAPs and not epidurals)? And if you do 4 quadrants, would you do 2 lateral TAPs + 2 subcostal TAPs, or would you do 2 lateral TAPs + 2 rectus sheaths? I haven't found much literature to say which would be superior. With 4 quadrants you cover higher dermatomes with subcostal, vs better midline coverage with rectus sheaths, but the downside is with a plane block where volume is key, there's less volume administered at each quadrant, vs more volume if you just do a bilateral approach. Appreciate your thoughts!

[@gnomey420]

Do a quadratus lumborum, 2 or 3, block for whole abdominal coverage.

[@feliperodrigues89]

Or a Low thoracic ESP block

[@subashthapa8066]

best videos for block...thank you for your great guidance.

[@mhoudmonier786]

Very good

[@SamtaniPradeep]

Sir In the video you have demonstrated posterior TAP??