Transversus Abdominis Plane Block (TAP Block) Boot Camp

Abstract

Abstract Introduction Transversus abdominis plane (TAP) blocks are increasingly popular to manage postoperative pain. Because the target structure of the block is the neuro-fascial plane between the internal oblique muscle (IOM) and the transverse abdominis muscle rather than a single neural structure, this block is ideal to introduce novices to ultrasound-guided regional anesthesia. Methods This simulation-based introduction boot camp to ultrasound-guided regional anesthesia has been made mandatory for all anesthesia residents in our large North American academic institution. This resource provides learners the opportunity to learn the technical skills associated with ultrasound-guided needle placement, abdominal wall anatomy (i.e., muscles, nerves, vessels, peritoneum, and colon), and how to safely perform a bilateral ultrasound guided TAP block. Results Since the implementation of this resource, the author have observed that attending physicians appreciate that new residents have had a chance to practice this skill in a simulation lab. Simultaneously, residents greatly appreciate the structured introduction into regional anesthesia in the relaxed setting of the simulation lab, devoid of time constraints. Discussion TAP blocks are an ideal procedure for introducing anesthesiology residents to ultrasound-guided regional anesthesia during boot camp.

Keywords

• Anesthesiology
• TAP Block
• Regional Anesthesia
• TAP Protein