Truncal Blocks: TAP & Thoracic Paravertebral

Faculty: Theresa Bowling, MD

Accomplished Anesthesiologist with over 20 years of experience in private practice:

  • Lead and develop Regional Anesthesia programs in the context of Enhanced Recovery After Surgery.
  • Founded SSRA with a mission to provide high-quality education pertaining to Regional Anesthesia techniques to treat acute pain and develop successful Regional Anesthesia programs.

Activity Overview:
This activity describes a detailed description and illustration of the use of ultrasound-guided truncal wall nerve blocks, which can result in improved patient care by decreasing the need for narcotics for postoperative pain. Also addressed are its benefits, indications, contraindications, and strategies for integration of these techniques into practice as clinically appropriate.

Learning Objectives:

After completing this activity, the learner will be able to:

  • Describe the use of truncal wall blocks in narcotic sparing anesthesia and analgesia for abdominal and chest wall
  • Recognize the sonoanatomy of the relevant structure for placing the nerve
  • Identify the indications, contraindications, and potential complications of truncal
  • Provide strategies for gaining skill in integration of truncal block procedures into practice.


Activity release date: 06/01/2019

Expiration Date: 06/01/2021

Estimated Time to Complete: 1.0 Hour(s)

Target Audience:
This activity is intended for anesthesiologists and other specialists who provide direct patient care.

Relevant Financial Disclosures:

Theresa Bowling, MD (Faculty)

Consulting Fee; Sonosite/Fujifilms

Fees for Non-CME Services: Sonosite, Halyard/I-Flow, B. Braun


Kimberly Archuleta (Medical Academy Planner)

No relevant financial relationships with commercial interests to disclose


Brian McAlary, MD (Planner, Reviewer)

No relevant financial relationships with commercial interests to disclose

Contact Information:
For questions regarding the content or access to this activity, contact Kimberly Archuleta/

Instructions for Participation:

Participants must complete the activity online during the valid credit period that is noted above.

Follow these steps:

  1. Read the target audience, learning objectives and faculty/planner/reviewer financial disclosures provided above.
  2. View the video and other required educational content provided on this course page, including a self-reflective quiz for promoting retention of knowledge.
  3. After completion of the viewing of the video and other materials, you will be provided access to the Activity Evaluation. We request you complete the Activity Evaluation to provide necessary feedback for continuing accreditation purposes and for development of future activities.
  4. Additional optional articles on this topic are included for your review.

Total Credits Earned For All Courses: 0

Course Content