Acta Scientific Pharmaceutical Sciences (ASPS)(ISSN: 2581-5423)

Case Study Volume 7 Issue 7

Transverse Abdominal Plane Block (Tap Block) Echo-guide a Safe Alternative for Cesarean in Parturients with a Precarious Hemodynamic State: About a Case of "Beautiful Escape"

Kamissoko Mohamed S1*, K Soumano1, N Bagayogo1, A Traoré1, M Shabani2, B Traoré1, S Coulibaly1, D Traoré1, P Coulibaly1, S Bah1 and I Bamba3

1Somine Dolo Hospital of Mopti, Mali
2ICRC Anaesthesiologist, Mali
3Sikasso Regional Hospital, Mali

*Corresponding Author: Kamissoko Mohamed S, Somine Dolo Hospital of Mopti, Mali.

Received: April 25, 2023; Published: June 14, 2023


Anesthesia for emergency caesarean section constitutes a real challenge for the anesthetist-resuscitator not only because of the complexity linked to the physiology of the pregnant woman but also because of the delay in fetal extraction, especially since the patient would be in a unstable haemodynamic status (HDM). In our case, it is a 26-year-old patient, housewife, married, with no known medical-surgical history (G3, P2) with two living children (V2), having carried out no prenatal consultation, a Glasgow at 14 /15 on admission associated with an unstable haemodynamic state. She was operated by Caesarean section for hemorrhage in the third trimester of pregnancy lasting more than 24 hours in a pregnancy estimated at term. We performed bilateral ultrasound-guided TAP BLOCK with 0.8 ml/ KgP of 0.25% Levo-Bupivacaine plus local infiltration of the incision site with 10 ml of XYLOCAINE 20 mg/ml ADRENALINE 0.005 mg/ml. Verbal contact was maintained with the patient throughout the surgery and she kept a stable HDM state intraoperatively with a mean arterial pressure (MAP) of 70 mmHg at the end of the procedure. Wall BLOCK techniques are feasible, reliable and beneficial on fragile sites where general anesthesia and neuro-axial methods (epidural or intrathecal) are contraindicated or even dangerous.

 Keywords: Anesthesia; World Health Organization (WHO); Mean Arterial Pressure (MAP)


  1. “Caesarean section”. In: Wikipedia (2022).
  2. Mali: Caesarean section: misunderstanding and low use in Mali (2023).
  3. Ford S., et al. “Defining the reliability of sonoanatomy identification by novices in ultrasound-guided pediatric ilioinguinal and iliohypogastric nerve blockade”. Anesthesia and Analgesia6 (2009): 1793‑1798.
  4. Nordin P., et al. “Local, regional, or general anaesthesia in groin hernia repair: multicentre randomised trial”. Lancet Lond Engl.9387 (2003): 853‑858.
  5. Callesen T., et al. “One-thousand consecutive inguinal hernia repairs under unmonitored local anesthesia”. Anesthesia and Analgesia6 (2001): 1373‑1376.
  6. Hebbard PD., et al. “Ultrasound-guided continuous oblique subcostal transversus abdominis plane blockade: description of anatomy and clinical technique”. Regional Anesthesia and Pain Medicine5 (2010): 436‑441.
  7. Finnerty O., et al. “Trunk blocks for abdominal surgery”. Anaesthesias1 (2010): 76‑83.
  8. Fernandes HDS., et al. “Ultrasound-guided peripheral abdominal wall blocks”. Clinics (São Paulo, Brazil) 76 (2021): e2170.
  9. Berger J and Amasse L. “TAP bloc: réalisation, indications”. Le Praticien en Anesthésie Réanimation1 (2010): 37‑42.
  10. Wang Y., et al. “Transversus abdominis plane block provides effective and safe anesthesia in the cesarean section for an amyotrophic lateral sclerosis parturient: A case report”. Medicine (Baltimore)43 (2021): e27621.
  11. Coffman JC., et al. “Transversus abdominis plane and ilioinguinal/iliohypogastric blocks for cesarean delivery in a patient with type II spinal muscular atrophy”. International Journal of Obstetric Anesthesia 25 (2016): 79‑
  12. Zetlaoui P. “The tap block-15 years later”.
  13. Hang D., et al. “Severe Abdominal Wall Infection After Subcostal Transversus Abdominis Plane Block: A Case Report”. AA Practice10 (2021): e01531.


Citation: Kamissoko Mohamed S., et al. “Transverse Abdominal Plane Block (Tap Block) Echo-guide a Safe Alternative for Cesarean in Parturients with a Precarious Hemodynamic State: About a Case of "Beautiful Escape"". Acta Scientific Pharmaceutical Sciences 7.7 (2023): 03-06.


Copyright: © 2023 Kamissoko Mohamed S., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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