Thank you for this great video. I see that you recommend directing the injection caudally; for what it's worth, I often perform this block with my injection directed cranially, with good results as well.
Nice video and a great idea. It's great to see innovation. Only thing I would say is that not all TAP blocks are the same and correct needle placement in the first place will allow supra-umbilical analgesia. That being said this is a fantastic block that needs circulation in the press. Well done Jeff on an inspiring presentation
I gave this a try for female robotic bariatric surgery patients but found it difficult to avoid trajectories that go through breast tissue when going from cranial to caudad. Would you recommend a different approach there? Also, how do you discern which is the 6th and 7th rib -- do you just go at the level of the xiphoid or count the ribs up from the 12th?
Per Tanaka BMC Anestheisiol 2022, differences include: injection point, target rib, and levels covered. EOI targets rib 7; more superficial between EO and IO); covers dermatomes T6-T9. M-TAPA targets rib 10; deeper between IO and TA); covers T8-T11. Appreciate corrections from video author.
This video is full of great information. I have found this block to be very useful to cover the upper abdominal pain patients experience with Laparoscopic Cholecystectomies, and have found it to be superior to the subcostal TAP block for this purpose. I am working on a presentation for an upcoming state meeting. Would it be possible to use some images from your video in my presentation? Credit will be given on the slides with the images.
Ayo Jeff! Do a video about this new Modified Thoracoabdominal Plane block through Perichondreal approach (M-TAPA)... or is it not proved to be effective yet?
Thank you for this great video. I see that you recommend directing the injection caudally; for what it's worth, I often perform this block with my injection directed cranially, with good results as well.
Another fantastic Blocktober video! Thank you, I look forward to trying this out
Nice video and a great idea. It's great to see innovation. Only thing I would say is that not all TAP blocks are the same and correct needle placement in the first place will allow supra-umbilical analgesia. That being said this is a fantastic block that needs circulation in the press. Well done Jeff on an inspiring presentation
I will try it. thanks for sharing.
Amazing video and nice explanation 👏
Thank you and thanks for watching!
Thank you
I gave this a try for female robotic bariatric surgery patients but found it difficult to avoid trajectories that go through breast tissue when going from cranial to caudad. Would you recommend a different approach there? Also, how do you discern which is the 6th and 7th rib -- do you just go at the level of the xiphoid or count the ribs up from the 12th?
No input, Jeff? These are great questions
It's amazing! By the way,How is it different from the spread of Modified Thoracoabdominal Nerve Block.
Per Tanaka BMC Anestheisiol 2022, differences include: injection point, target rib, and levels covered. EOI targets rib 7; more superficial between EO and IO); covers dermatomes T6-T9. M-TAPA targets rib 10; deeper between IO and TA); covers T8-T11. Appreciate corrections from video author.
Nice video skills!
Can you use this for anterior rib fractures as well?
This video is full of great information. I have found this block to be very useful to cover the upper abdominal pain patients experience with Laparoscopic Cholecystectomies, and have found it to be superior to the subcostal TAP block for this purpose. I am working on a presentation for an upcoming state meeting. Would it be possible to use some images from your video in my presentation? Credit will be given on the slides with the images.
Glad you found it helpful! Of course, please feel free to screenshot whatever you need. Good luck with the presentation!
Ayo Jeff!
Do a video about this new Modified Thoracoabdominal Plane block through Perichondreal approach (M-TAPA)... or is it not proved to be effective yet?
Does it provide adequate analgesia for open nefrectomy cases? Or do you need additional blocks for full coverage?
What is your diluting solution in making your dilute local anesthetic? Is D5water as diluting agent truly provide earlier Onset of block?
What's are indications of this block apart from liver TX pt
Will this be purely for analgesia purposes or post-op pain management or can it be used as an adjunct for GA for a lower MAC level?
This is analgesia for only somatic pain , not including visceral pain.