Peritoneal Dialysis Catheter Placement Using an Ultrasound-Guided Transversus Abdominis Plane Block

被引：18

作者：

Markic, Dean ^{[1
]}

Vujicic, Bozidar ^{[2
]}

Ivanovski, Mladen ^{[3
]}

Krpina, Kristian ^{[1
]}

Grskovic, Antun ^{[1
]}

Zivcic-Cosic, Stela ^{[2
]}

Zupan, Zeljko ^{[3
]}

Maricic, Anton ^{[1
]}

Valencic, Maksim ^{[1
]}

Racki, Sanjin ^{[2
]}

机构：

[1] Univ Hosp Rijeka, Dept Urol, HR-51000 Rijeka, Croatia

[2] Univ Hosp Rijeka, Dept Nephrol & Dialysis, HR-51000 Rijeka, Croatia

[3] Univ Hosp Rijeka, Dept Anesthesiol & Intens Care, HR-51000 Rijeka, Croatia

来源：

BLOOD PURIFICATION | 2015年 / 39卷 / 04期

关键词：

End-stage renal disease; Peritoneal dialysis catheter; Regional anesthesia; Transversus abdominis plane block; REGIONAL ANESTHESIA; ANALGESIC EFFICACY; SURGICAL IMPLANTATION; LIVER TRAUMA; SURGERY; HELIUM;

D O I：

10.1159/000381005

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Peritoneal dialysis (PD) catheter placement is usually performed using general or local anesthesia. We present our PD catheter placement experience using an ultrasound-guided transversus abdominis plane (TAP) block, which is a regional anesthesia technique. Methods: In this study, we analyzed 33 patients from our center with ESRD who underwent PD catheter placement using a TAP block between June 2011 and April 2014. Results: The TAP block was successful for 29/33 (87.9%) patients. Four patients (12.1%) had pain at the incision site and required general anesthesia. There were no anesthesia-, surgery- or catheter-related complications. Conclusion: ESRD patients have a substantial number of comorbidities that can be negatively influenced by general anesthesia. Because regional anesthesia has no systemic effect, this procedure could be recommended for this group of patients. A TAP block is an effective, safe method and can be used as the principal anesthesia technique for PD catheter placement. (C) 2015 S. Karger AG, Basel

引用

页码：274 / 280

页数：7

共 42 条

[1] Technique of Peritoneal Catheter Placement under Fluroscopic Guidance [J].

Abdel-Aal, Ahmed Kamel ;

Gaddikeri, Santhosh ;

Saddekni, Souheil .

RADIOLOGY RESEARCH AND PRACTICE, 2011, 2011

[2] Transversus Abdominis Plane Block Reduces the Analgesic Requirements After Abdominoplasty With Flank Liposuction [J].

Araco, Antonino ;

Pooney, Jack ;

Araco, Francesco ;

Gravante, Gianpiero .

ANNALS OF PLASTIC SURGERY, 2010, 65 (04) :385-388

[3]

Asif A, 2005, Minerva Chir, V60, P417

[4] Laparoscopic internal fixation is a viable alternative option for continuous ambulatory peritoneal dialysis catheter insertion [J].

Bae, In Eui ;

Chung, Woo Kyung ;

Choi, Sang Tae ;

Kang, Jinmo .

JOURNAL OF THE KOREAN SURGICAL SOCIETY, 2012, 83 (06) :381-387

[5] The Efficacy of a Novel Approach to Transversus Abdominis Plane Block for Postoperative Analgesia After Colorectal Surgery [J].

Bharti, Neerja ;

Kumar, Parag ;

Bala, Indu ;

Gupta, Vikas .

ANESTHESIA AND ANALGESIA, 2011, 112 (06) :1504-1508

[6]

Cala Z, 2000, DIALYSIS TRANSPLANT, V29, P722

[7] Videoscopic surgery under local and regional anesthesia with helium abdominal insufflation [J].

Crabtree, JH ;

Fishman, A .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1999, 13 (10) :1035-1039

[8]

Crabtree JH, 2000, PERITON DIALYSIS INT, V20, P757

[9] Peritoneal dialysis access: prospective randomized comparison of single-cuff and double-cuff straight Tenckhoff catheters [J].

Eklund, B ;

Honkanen, E ;

Kyllonen, L ;

Salmela, K ;

Kala, AR .

NEPHROLOGY DIALYSIS TRANSPLANTATION, 1997, 12 (12) :2664-2666

[10]

EKLUND BH, 1995, NEPHROL DIAL TRANSPL, V10, P386

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