Case report: life-threatening coronary artery spasm under transversus abdominis plane block in combination with general anesthesia

Peng, Wenping; Huang, Shun; Songyang, Zhou; Yang, Ning; Zuo, Mingzhang

doi:10.1186/s12871-018-0616-3

Cited by 4 publications

(1 citation statement)

References 13 publications

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“…With the advancement and popularization of ultrasound visualization technology, TAP block technology has become easier and safer, rapidly becoming one of the most important assistant methods for postoperative analgesia in abdominal surgery. A large number of studies have reported that ultrasound-guided TAP blocks were able to alleviate stress responses, reduce the use of anesthetics during procedures and provide for postoperative pain in abdominal surgeries ( 3 – 5 ). Although ultrasound-guided TAP block is primarily used for postoperative analgesia management of various abdominal operations under spinal or general anesthesia, TAP alone may also a technically feasible alternative to some minor surgeries involving the abdominal wall.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided transversus abdominis plane block as an effective anesthetic technique for transverse colostomy in a high-risk elderly patient: A case report

Shi²,

Jia³

2023

Front. Med.

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Ultrasound-guided transversus abdominis plane (TAP) block is considered to be one of most prevalent and effective adjuvant analgesic methods for various abdominal surgeries. However, whether TAP blocks can be used alone as an effective anesthetic technique in minor abdominal operations has rarely been reported. Here we presented a 66-year-old male who had sustained right somatic dysfunction and mild brain dysfunction caused by cerebral infarctions and poorly treated hypertension. The patient received a confine operation of transverse colostomy to alleviate an intestinal obstruction caused by rectal cancer. A 22G needle was advanced in the plane under ultrasound guidance until it reached the TAP. A total of 10 mL 0.375% ropivacaine with 5 mg dexamethasone and 10 μg dexmedetomidine was injected into the TAP. The operation went stably and smoothly without any complaints. After the operation, the patient returned to the care of the surgical recovery staff with patient-controlled intravenous analgesia (PCIA) containing 0.7 mg/kg oxycodone and 2.5 μg/kg dexmedetomidine. During the perioperative period, the elderly patient did not experience apparent or unbearable pain. All these evidences indicated the ultrasound-guided subcostal and lateral TAP block was a simple and effective procedure for transverse colostomy in a high-risk elderly patient.

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Section: Introductionmentioning

confidence: 99%