Ultrasound-Guided Oblique Sub-Costal Transversus Abdominis Plane Block as the Principal Anesthesia Technique in Peritoneal Dialysis Catheter Implantation and Plasma Ropivacaine Concentration Evaluation in ESRD Patients: A Prospective, Randomized, Double-Blinded, Controlled Trial

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
Zi LiTao Zhu

Abstract

The ultrasound-guided transversus abdominis plane (TAP) block is generally used for analgesia but not for anesthesia. A TAP block has a partial analgesic effect on the parietal peritoneum in abdominal surgeries. We hypothesized that an ultrasound-guided oblique subcostal TAP block, used as the principal anesthesia technique, could provide a better anesthetic effect on peritoneum stimulation in peritoneal dialysis catheter (PDC) implantation in end-stage renal diseases (ESRD) patients than local anesthetic infiltration (LAI). End-stage renal disease patients undergoing PDC implantation were randomized into 3 groups: LAI Group, unilateral TAP group (Uni-TAP Group) and bilateral TAP group (Bi-TAP Group). A 40-mL dose of 0.25% ropivacaine was used for the regional block (LAI or TAP). The quality of anesthesia, visual analogue scale (VAS) of pain, cumulative rescuing sufentanil consumption, and venous plasma ropivacaine concentrations were compared among the 3 groups. Sixty-nine patients were enrolled, and higher 'Satisfied' anesthesia rates from nephrologists and patients were recorded in the 2 TAP groups, compared with the LAI Group. Significantly lower VAS scores were observed in the Uni-TAP Group at a majority of time points com...Continue Reading

References

Apr 23, 2008·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·W M RozenG I Taylor
Aug 25, 2009·British Journal of Anaesthesia·D BelavyF Phillips
Feb 4, 2010·Anaesthesia·K O'Connor, C Renfrew
Mar 2, 2010·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Po-Jen YangMeng-Kung Tsai
Sep 24, 2010·British Journal of Anaesthesia·J D GriffithsC F Royse
Aug 23, 2011·European Journal of Anaesthesiology·M Shahnaz HasanKin Fah Chin
Oct 18, 2015·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Zi LiJoanne M Bargman
May 18, 2016·Journal of Clinical Anesthesia·Daryl S HenshawJonathan Douglas Jaffe

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Citations

Jul 10, 2019·Anesthesiology·De Q TranJoseph M Neal
Sep 12, 2020·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Zhiyun ZangZi Li
Oct 28, 2020·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Mohamed ElboklJeffrey Perl
Jun 19, 2021·International Urology and Nephrology·Takashin NakayamaHiroshi Itoh

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Methods Mentioned

BETA
dissection
sedation

Software Mentioned

SPSS

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