Transversus abdominis plane (TAP) block for pain management of rectus sheath hematoma in the emergency department (ED)
Title
Transversus abdominis plane (TAP) block for pain management of rectus sheath hematoma in the emergency department (ED)
Creator
Robert T Stenberg
Bhanu Wahi-Singh
Pia Wahi-Singh
Andrew Hill
Erin L Simon
Date
2022
Description
Peripheral nerve blocks for pain management have historically been discussed in anesthesiology literature but, until recently, have not been considered in emergency medicine contexts. Transversus abdominis plane (TAP) blocks, in particular, have recently been explored in the emergency department for pain control in acute appendicitis but are potentially helpful for managing abdominal pain of other etiologies. One such pathology is rectus sheath hematomas, where conservative management is often necessary as curative treatments often pose more significant risks than are necessary. We report the case of a 57-year-old female presenting to the emergency department with severe abdominal pain following vigorous exercise. She was found to have a large rectus sheath hematoma on computed tomography. An ultrasound-guided transversus abdominis plane block was performed in the emergency department, and the patient had complete resolution of her pain.
Source
Am J Emerg Med
. 2023 Jan;63:183.e1-183.e3. doi: 10.1016/j.ajem.2022.10.036. Epub 2022 Nov 9.
. 2023 Jan;63:183.e1-183.e3. doi: 10.1016/j.ajem.2022.10.036. Epub 2022 Nov 9.
Language
English
URL
https://doi.org/10.1016/j.ajem.2022.10.036
Citation
Robert T Stenberg et al., “Transversus abdominis plane (TAP) block for pain management of rectus sheath hematoma in the emergency department (ED),” NEOMED Bibliography Database, accessed April 27, 2024, https://neomed.omeka.net/items/show/12196.