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Determination of spread of injectate after ultrasound-guided transversus abdominis plane block: a cadaveric study  T.M.N. Tran, J.J. Ivanusic, P. Hebbard,

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Presentation on theme: "Determination of spread of injectate after ultrasound-guided transversus abdominis plane block: a cadaveric study  T.M.N. Tran, J.J. Ivanusic, P. Hebbard,"— Presentation transcript:

1 Determination of spread of injectate after ultrasound-guided transversus abdominis plane block: a cadaveric study  T.M.N. Tran, J.J. Ivanusic, P. Hebbard, M.J. Barrington  British Journal of Anaesthesia  Volume 102, Issue 1, Pages (January 2009) DOI: /bja/aen344 Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

2 Fig 1 Probe placement on the lateral abdominal wall cephalad to the iliac crest. Note that the needle was advanced anterior to posterior using an in-plane technique. IC, iliac crest; CM, costal margin. British Journal of Anaesthesia  , DOI: ( /bja/aen344) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

3 Fig 2 Transverse sonogram of lateral abdominal wall with in-plane image of needle. SC, subcutaneous tissue; EO, external oblique muscle; IO, internal oblique muscle; TA, transversus abdominis muscle; Arrows, needle shaft. British Journal of Anaesthesia  , DOI: ( /bja/aen344) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

4 Fig 3 Diagram shows needle trajectory in the TAP between the internal oblique and the transversus abdominis muscles. Ext Oblique, external oblique muscle; Int Oblique, internal oblique muscle; Transversus, transversus abdominis muscle. (Modified from source: Ecole Polytechnique Fédérale de Lausanne, Switzerland, Visible Human Web Server. URL: British Journal of Anaesthesia  , DOI: ( /bja/aen344) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

5 Fig 4 Nerves roots identified and involved in dye between the iliac crest and the costal margin. IC, iliac crest; CM, costal margin; TA, transversus abdominis muscle; IO, internal oblique muscle; EO, external oblique muscle; T10, 10th thoracic nerve root; T11, 11th thoracic nerve root; T12, 12th thoracic nerve root; L1, first lumbar nerve root. British Journal of Anaesthesia  , DOI: ( /bja/aen344) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

6 Fig 5 Transverse sonogram of the muscles and fascias at the linea semilunaris (arrow). RA, rectus abdominis muscle; SC, subcutaneous tissue; EO, external oblique muscle; IO, internal oblique muscle; TA, transversus abdominis muscle. British Journal of Anaesthesia  , DOI: ( /bja/aen344) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

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