Ultrasound Guided Transversus Abdominis (TAP) - SSRAUSA.com

TAP Block
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[@SSRAUSA]

Thanks for the positive feedback! This block is so quick and easy when using US guidance. Let me know how it goes using US vs be feel.

[@edwardherrera4097]

The angle of the needle should be medial to lateral. Any regional text book tells you this. She says that your angle should be toward the spine. That is an incorrect statement. Doesn't mean you might not get lucky and place the block but this isn't the correct technique.

[@avail64]

Agreed, you should look at the depth of the plane you are looking for on the ultrasound and introduce your needle at roughly that depth on the skin; keeping in mind that your are limited partially by the needle length. This way you have much better needle visualization with the US beams being nearly perpendicular to the hyperechoic needle. For example if your target is at a depth of 4cm then introduce your needle at 3cm. That way you have a low needle angle, good visualization of the needle and have a much safer needle trajectory.

[@Mallampati4]

Excellent video!!! Thank you so much!!

[@selios72]

Thanks for the video, I have started to do this blocks and everybody is happy, Thanks again.

[@raaronmarrero]

Is it true that with the intercostal angle you can achieve a block up to T7?

[@tebmd23]

We use 0.2% Ropivicaine at 7 cc/hr/side and we leave the catheters in for 2 days.

[@raaronmarrero]

Is it true that with the intercostal angle you can achieve a block up to T7?

[@cwesley2005]

What solution and rate do you run your catheters?

[@markadams7328]

How about approaching from below the probe to place catheters - to 'be out of the way'??

[@SSRAUSA]

Mark Adams Def an option. we are going to explore this year doing only PEC 1/2 for breast surgery and eliminate PVC. Exparel may be the answer too. thoughts?

[@sj505]

Does this mean a patient can remain awake for the procedure and have more say in modesty and dignity?

[@SSRAUSA]

I am glad you found it useful. Be sure to check out our other videos and our website, SSRAUSA.com

[@divyarajshekar1957]

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