Monitored anesthesia care based on ultrasound-guided subcostal transversus abdominis plane block for continuous ambulatory peritoneal dialysis catheter surgery: case series

Journal of Anesthesia
Hanako YamamotoYoji Saito

Abstract

Planning safe perioperative management for patients undergoing continuous ambulatory peritoneal dialysis (CAPD) catheter surgery (insertion and extraction of the catheter) is often difficult because many of these patients not only have renal insufficiency but also have co-existing disorders, such as heart diseases. As increased indications for perioperative anticoagulation therapy have limited the choice of anesthesia, selecting an appropriate anesthetic method, particularly for patients with poor systemic conditions, is becoming more challenging. We report seven cases of CAPD catheter surgery successfully managed by monitored anesthesia care using subcostal transversus abdominis plane (TAP) block with additional local anesthetic infiltration and analgesics. Despite co-existing cardiac disease and/or coagulation disorders, all patients were safely managed without any other major anesthetic methods. Subcostal TAP block is a useful anesthetic option for CAPD catheter surgery, particularly for patients with poor systemic conditions and/or in whom neuraxial blocks are contraindicated.

References

Apr 25, 2008·Regional Anesthesia and Pain Medicine·Muhammad Farooq, Michael Carey
Feb 4, 2010·Anaesthesia·K O'Connor, C Renfrew
Apr 6, 2011·Acta Anaesthesiologica Scandinavica·J BørglumK Jensen
Aug 23, 2011·European Journal of Anaesthesiology·M Shahnaz HasanKin Fah Chin
Jan 31, 2012·Regional Anesthesia and Pain Medicine·Faraj W AbdallahRichard Brull
Sep 26, 2012·Journal of Anesthesia·Tarun BhallaJoseph D Tobias

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Citations

Feb 18, 2016·Current Pain and Headache Reports·Maunak V RanaD'Andra Davis
Apr 15, 2017·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Dean MarkićSanjin Rački

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