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Fig. 1 | BMC Anesthesiology

Fig. 1

From: The combination of transversus abdominis plane block and rectus sheath block reduced postoperative pain after splenectomy: a randomized trial

Fig. 1

Ultrasound-guided TAPB and RSB

External oblique muscle, internal oblique muscle, transversus abdominis muscle, and peritoneum. A and B show ultrasound-guided RSB. The needle tip was positioned in the posterior rectus sheath, and saline was injected. Uniform hydrodissection of the muscle tissue and sheath was critical for the success of RSB, and then, the anaesthetics were injected. RSB rectus sheath block, RAM rectus abdominis muscle. C, D and E represent ultrasound images of TAPB. The needle tip was positioned in the plane between the internal oblique muscle and the transversus abdominis muscle. After dissection of the plane by injection of saline, the anaesthetics were injected. During the injection of anaesthetics, the needle was advanced further along the transabdominal plane, and the regional anaesthetics were injected step by step to ensure that the entire transabdominal plane was filled with anaesthetics. TAPB transversus abdominis plane block, EOM external oblique muscle, IOM internal oblique muscle, TAM transversus abdominis muscle.

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