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Accreditation Dings - August 2013 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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OSE_1308_part3_Layout 1 8/8/13 11:10 AM Page 119 ANESTHESIA ALERT Scott Urigel, CRNA, MSN, and Jeff Molter, CRNA, MSB, MBA TAP Blocks for Abdominal Surgery This nerve block preserves lower limb motor and sensory functions. relatively new peripheral nerve block that anesthetizes the nerves supplying the anterior abdominal wall is a great adjunct for post-operative pain control in abdominal, gynecologic or urologic surgery. It's ON TARGET Ultrasound confirms that the needle has called the transverse advanced through the muscle layers and reached the TAP. abdominis plane (TAP) block. We perform TAP blocks daily at our facility. Our TAP blocks are more accurate, more consistent and lower-risk than before thanks to ultrasound, which lets us identify the appropriate tissue plane and perform this block with greater accuracy under direct visualization. A Advantages of ultrasound TAP blocks involve injecting a local anesthetic solution into the neurofascial plane between the internal oblique and transversus abdominis muscles. The TAP block targets the thoracolumbar nerves T7-L1 and provides somatic pain relief to the skin, muscles and parietal peritoneum of the anterolateral abdominal wall. The procedure was first described in 2001 in the journal Anesthesia. The author had been using a "landmark" technique — using anatomiA U G U S T 2013 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 1 1 9

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