Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjan.2012.12.007
Brazilian Journal of Anesthesiology
Clinical Informations

Bloqueio do plano transverso abdominal contínuo bilateral em doente com cirurgia abdominal prévia

Continuous bilateral TAP block in patient with prior abdominal surgery

Isabel Flor de Lima; Filipe Linda; Ângela dos Santos; Neusa Lages; Carlos Correia

http://dx.doi.org/10.1016/j.bjan.2012.12.007 Braz J Anesthesiol, vol.63, n5, p.422-425, 2013
PDF Português
PDF English
Downloads: 0
Views: 922

Resumo

Os autores apresentam um caso clínico em que foi realizado um bloqueio do plano do músculo transverso abdominal, com colocação de cateter bilateral, para analgesia pós-operatória de laparotomia exploradora, em doente com cirurgia abdominal prévia, insuficiência cardíaca, renal e hepática, em opção à analgesia epidural e aos opioides endovenosos em perfusão.

Palavras-chave

ANALGESIA, Pós-operatório, Complicações Intraoperatórias, Músculos Abdominais, TÉCNICAS ANESTÉSICAS, Regional, nervos periféricos e gânglios

Abstract

We present as an option for epidural analgesia and intravenous opioid infusion a clinical case of transversus abdominis plane (TAP) block, with bilateral placement of catheter for postoperative analgesia after exploratory laparotomy performed in a patient with previous abdominal surgery and heart, kidney and liver failure.

Keywords

Abdominal Muscles, Analgesia, Intraoperative Period/complications, Nerve Block, Postoperative Period

References

Young JM, Gorlin AW, Modest VE, Quraishi SA. Clinical implications of the Transversus Abdominis Plane block in adults. Anesthesiol Res Pract. 2012.

McDonnell G, Finnerty O. Transversus Abdominis Plane block. Curr Opin Anesthesiol. 2012;25:610-614.

Liu S, Carpenter RL, Neal JM. Epidural anesthesia and analgesia: Their role in postoperative outcome. Anesthesiology. 1995;82.

Wu CL, Fleisher LA. Outcomes research in regional anesthesia and analgesia. Anesth Analg. 2000;91.

Niraj G, Kelkar A, Fox AJ. Case report: Oblique subcostal TAP catheters: an alternative to epidural analgesia after upper abdominal surgery. Anaesthesia. 2009;64:1137-1140.

Mann C, Pouzeratte Y, Boccara G. Comparison of intravenous or epidural patient controlled analgesia in the elderly after major abdominal surgery. Anesthesiology. 2000;92:433-441.

Gholson CF, Provenza JM, Bacon BR. Hepatologic considerations in patients with parenchymal liver disease undergoing surgery. Am J Gastroenterol. 1990;85:487-496.

Davies G, Kingswood C, Street M. Pharmacokinetics of opioids in renal dysfunction. Clin Pharmacokinet. 1996;31:410-422.

Niraj G, Kelkar A, Jeyapalan I. Comparison of analgesic efficacy of subcostal Transversus Abdominis Plane block with epidural analgesia following upper abdominal surgery. Anaesthesia. 2011;66:465-471.

Van Veen JJ, Nokes TJ, Makris M. The risk of spinal haematoma following neuraxial anaesthesia or lumbar puncture in thrombocytopenic individuals. Br J Haematol. 2010;148(1):15-25.

Englbrecht JS, Pogatzki-Zahn EM, Zahn P. Spinal and epidural anesthesia in patients with hemorrhagic diathesis: decisions on the brink of minimum evidence?. Anaesthesist. 2011;60(12):1126-1134.

Hebbard P. Subcostal transversus abdominis plane block under ultrasound guidance. Anesth Analg. 2008;106:674-675.

Hebbard P, Barrington MJ, Vasey C. Ultrasound-guided continous oblique subcostal transversus abdominis plane blockade. Reg Anesth Pain Med. 2010;35(5):436-441.

Bjerregaard N, Nirolajsen, Bendtsen TF, Rasmussen BS. Transversus abdominis plane cateter bolus analgesia after major surgery. Anesthesiol Res Pract. 2012.

5dd3f5880e88259d6fc63493 rba Articles
Links & Downloads
2352-2291 (Electronic) 0104-0014 (Printed)
Braz J Anesthesiol ©2024 All rights reserved.

Braz J Anesthesiol

Share this page
Page Sections