Transversus abdominis plan bloğu için ultrason eşliğinde farklı bölgelerden yapılan ölçümler.

Background: Inadequate or overdose use of analgesics is becoming increasingly important; therefore, analgesia methods are developing day by day. Transversus abdominis plan (TAP) block is a method for pain control in abdominal surgeries under ultrasound guidance. In our study, we aimed to investigate the area where TAP block should be applied by taking measurements from different regions under ultrasound guidance. Methods: Thirty patients aged between 18-65 years were included in the study. Linear oblique muscle, external oblique muscle, and transverse abdominal plan sheath width from the anterior axillary region and medial axillary line from the anterior abdominal region, from the subcostal region of the ultrasound to the anterior abdomen, and from the upper iliac crest were recorded. The image sharpness of these regions (poor, good and very good) was evaluated and recorded. Results: Internal oblique muscle, external oblique muscle, transversus abdominus muscle widths and transversus abdominus fascia were found to be lower and statistically significant (P <0) when comparing the anterior axillary line (A1) over Krista iliac line with the median axillary line (A2)., 05). Internal oblique muscle and transversus abdominus fascia were found to be lower in the measurements taken when comparing the anterior axillary line (B1) under the costal edge with the median axillary line (B2) and were found to be statistically significant (P <0.05). Conclusion: We believe that the probe should be made over the medial axillary line when TAP block is applied because the measurements are higher than the anterior axillary line and the image clarity is better. [ABSTRACT FROM AUTHOR]