Çevikkalp E.Erbüyün K.Erbüyün S.C.Ok G.2024-07-222024-07-22201803795284http://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15251Pediatric regional anesthesia is widely used to relieve postoperative pain after abdominal surgery. Commonly used techniques of regional anesthesia include lumbar epidural and caudal block. However, the use of central neuraxial blockade has limitations. It is contraindicated in patients with clotting abnormalities, spinal dysraphism with tethered cord syndrome, meningomyelocele, and following spinal surgery with instrumentation. Ultrasound guided transversus abdominis plane block is a new method of regional anesthesia that can be used in settings where central neuraxial blockade is contraindicated. In this study, we present 5 pediatric cases in which major abdominal surgery was performed but central neuraxial blockade could not be carried out due to spinal abnormalities. © 2018, Saudi Arabian Armed Forces Hospital. All rights reserved.EnglishAll Open Access; Gold Open Access; Green Open AccessAbdominal MusclesAdolescentAnalgesiaAnesthetics, LocalBupivacaineChildChild, PreschoolFemaleHumansLaparoscopyLidocaineMaleMeningomyeloceleNerve BlockPain, PostoperativeUltrasonography, InterventionalUrologic Surgical Proceduresbilirubinbupivacainecreatininefentanyllidocainemidazolammivacuriumnitrous oxide plus oxygenparacetamolpropofolsevofluraneurealocal anesthetic agentabdominal surgeryadolescentArticlebladder dysfunctionblood pressurecase reportchildclinical articleendotracheal intubationFaces Pain Scalefemalefollow upheart ratehumaninterventional ultrasonographylaparoscopic cholecystectomymalemeningomyeloceleneurogenic bladderoutcome assessmentpostoperative analgesiapreschool childschool childscoliosisspinal dysraphismthorax radiographytransversus abdominis plane blockabdominal wall musculatureanalgesiacomplicationlaparoscopynerve blockpostoperative painproceduresurologic surgeryArticle10.15537/smj.2018.1.20943