Midaxilar TAP block as analgesic treatment during the process of iliac crest engraftment collection.

Abstract

Among the most frequent problems after obtaining the crest graft (ICI) is the high incidence of acute postoperative pain and the higher prevalence of chronic pain in the area of the incision that, according to some series of cases, can reach 40% The midaxilar TAP block, which works on the nerve roots from T7 to L1, can be effective in the control of pain through the incision and the manipulation of the iliac crest. 

In this work, we present three cases of shoulder arthroplasty that required ICI. In all of them, the combination of two loco-regional anesthesia techniques was used,  mid-axillary TAP block and brachial plexus block at the interscalenic level, with the aim of avoiding the appearance of intra and postoperative pain, avoiding the use of opioids. In addition, in no case were there signs of systemic poisoning by local anesthetics.