Transversus abdominis plane block as the primary anesthetic for peritoneal dialysis catheter surgery - 14/05/16
: Assistant Professor, Matthew L. Baker, MD 1 : Assistant Professor, Robert S. Weller, MD : Professor, Jon Wellington Reynolds, MD : Assistant Professor, Jonathan Douglas Jaffe, DO : Assistant ProfessorAbstract |
Study objective |
The primary goal of this study was to determine whether transversus abdominis plane (TAP) blocks were effective as the primary anesthetic technique for insertion and/or removal of peritoneal dialysis catheters.
Design |
This study is a descriptive case series investigation.
Setting |
Operating rooms at a tertiary care academic medical center.
Patients |
Twenty-four patients, American Society of Anesthesiologists (ASA) physical status 3 and 4, were included in this study.
Interventions |
Patients who had received a TAP block preoperatively for open surgical insertion or removal of a peritoneal dialysis catheter over a 26-month period with the intent of the block to serve as the primary anesthetic were included in this study.
Measurements |
Preoperative and intraoperative sedative medications and local anesthetic medications were analyzed. The primary outcome of the study was the ability of the TAP block to provide surgical anesthesia as determined by a lack of need to convert to general anesthesia (defined by placement of an airway device, use of volatile anesthetics, intraoperative propofol infusion dose equal to or greater than 100 μg kg−1 min−1). Secondary outcomes included analysis of any complications from the higher concentrations of local anesthetics required for surgical block.
Mani results |
Of 24 patients, 21 underwent the procedure without conversion to general anesthesia as defined above. No complications related to local anesthetics were found.
Conclusion |
Transversus abdominis plane blockade can be successful at serving as the primary anesthetic modality for the insertion and/or removal of a peritoneal dialysis catheter by open-surgical approach. There were no systemic toxic effects or other complications recorded.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Retrospectively investigated the efficacy of TAP blocks as a surgical anesthetic. |
• | Transversus abdominis plane blocks can reliably provide surgical anesthesia. |
• | An alternative to general anesthesia for peritoneal dialysis catheter surgery. |
Keywords : TAP block, Surgical anesthesia, Peritoneal dialysis
Plan
| ☆ | Conflict of interest statement: The authors declare that they have no disclosures of financial or other conflicts of interest for the publication of this article. |
| ☆☆ | Dr Henshaw and Dr Weller have received material support for an unrelated study. |
| ★ | Presented in part at ASRA Annual Spring Meeting, April 2014. |
Vol 31
P. 182-188 - juin 2016 Retour au numéro
Article précédent
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