Peritoneal Dialysis Catheter Surgery Using Transversus Abdominis Plane Block

Markić, Dean; Vujičić, Božidar; Ivanovski, Mladen; Krpina, Kristian; Gršković, Antun; Rahelić, Dražen; Rubinić, Nino; Župan, Željko; Lasić, Hrvoje; Materljan, Mauro; Rački, Sanjin

doi:10.3747/pdi.2016.00198

Cited by 6 publications

(14 citation statements)

References 22 publications

(28 reference statements)

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“…Yamamoto et al (9) were the first to describe their experience with PD catheter removal using TAP block in three patients. Our previous study showed successful use of TAP block for PD catheter removal in 13/14 patients (92.9%), with only one patient requiring general anesthesia (7). There are several reports on the use of bilateral TAP block instead of general anesthesia in high-risk patients with multiple comorbidities, but none for PD catheter surgery (13,14).…”

Section: Discussionmentioning

confidence: 99%

“…Application of local anesthetic in this plane caused anesthesia of the anterolateral abdominal wall which is used for insertion and/or removal of PD catheter. Regional anesthesia has negligible systemic effects, and recently the use of the TAP block was described in PD catheter procedures (4)(5)(6)(7)(8)(9). Herein, for the first time, we report a synchronous removal and insertion of PD catheter using TAP block.…”

Section: Introductionmentioning

confidence: 97%

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Case Report: Synchronous Removal and Implantation of Peritoneal Dialysis Catheter Using Bilateral Transversus Abdominis Plane Block

et al. 2022

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BackgroundPeritoneal dialysis (PD) surgery include PD catheter insertion and removal. Both procedures require the use of anesthesia. The end-stage renal disease (ESRD) patients usually have severe comorbidities. The general anesthesia, because of its negative systemic effect, should be omitted in this vulnerable group of the patients. Transversus abdominis plane (TAP) block as a newer method of regional anesthesia is a technique without systemic effect and recently started to be used in ESRD patients for PD catheter placement and/or removal. Here we report a patient in whom we for the first time simultaneously removed and implanted a PD catheter by using a bilateral transversus abdominis plane block.Case PresentationThe patient was an 80-year-old man who was admitted for removal of malfunctioned PD catheter. Since the patient opted for staying on PD simultaneous implantation of catheter was planned. Because of his age and significant comorbidities, general anesthesia was avoided and bilateral TAP block become our option. In the same anesthesia, using bilateral TAP block, the old PD catheter was removed and a new one was implanted. Until now the patient is on regular PD without any complications.ConclusionThe TAP block could be used as a primary anesthetic technique in ESRD patients for PD surgery even for synchronous removal and implantation of PD catheter.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Case Report: Synchronous Removal and Implantation of Peritoneal Dialysis Catheter Using Bilateral Transversus Abdominis Plane Block

et al. 2022

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“… 7 , 8 , 16 - 20 In some reports, the TAP block was applied alone with a success rate of 87.50% (n=24), 91.7% (n=60) or 95% (n=20). 7 , 8 , 18 However, the additional use of anesthetic drugs was needed to achieve a better analgesia or sedation effect. Eldawlatly and colleagues proposed that the combination of TAP and RS blocks provides a safe and effective anesthetic technique for patients undergoing laparoscopic PD catheter insertion.…”

Section: Discussionmentioning

confidence: 99%

“…PD catheter placement can be performed under local anesthetic (LA) infiltration, subarachnoid anesthesia (SA) or general anesthesia (GA). 7 , 8 Among these, SA is the most common. However, it may not be suitable for patients with poor cardiac function.…”

Section: Introductionmentioning

confidence: 99%

“…14 , 15 Although studies have shown that the TAP block, either with or without the RS block, can be used for PD catheter placement, thus far none have compared this method with SA. 7 , 8 , 16 - 20 Hence, the primary objective of this study is to test the efficacy of the TAP + RS block as a principal anesthesia method for PD catheter surgery compared to SA. The secondary objective is to analyze the intraoperative hemodynamics and postoperative analgesic efficiency.…”

Section: Introductionmentioning

confidence: 99%

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<p>Ultrasound-Guided Unilateral Transversus Abdominis Plane Combined with Rectus Sheath Block versus Subarachnoid Anesthesia in Patients Undergoing Peritoneal Dialysis Catheter Surgery: A Randomized Prospective Controlled Trial</p>

Guo

Zhao

et al. 2020

JPR

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Background Peritoneal dialysis catheter placement can be performed under general anesthesia, local anesthesia or subarachnoid anesthesia (SA). Recently, studies have reported the successful placement of peritoneal dialysis catheters using a transversus abdominis plane (TAP) block and rectus sheath (RS) block. This study compared the TAP + RS block with SA for patients undergoing peritoneal dialysis catheter placement. Methods Sixty patients were randomly divided into two groups, with 30 receiving unilateral ultrasound-guided TAP + RS block anesthesia and 30 receiving SA. The demographic characteristics, anesthesia efficacy, indicators related to anesthesia or operation, hemodynamic index, postoperative pain numeric rating score (NRS), postoperative recovery indicators, complications related to anesthesia or surgery, and dosage of sedative or analgesic medication were analyzed. Results Anesthesia operation time was significantly shorter in the TAP + RS block group than in the SA group ( P <0.001), while there was no significant difference in success rates (TAP + RS 93.33% [95% confidence interval, 95% CI, 83.9–102.8%] vs SA 100.00% [95% CI, 100–100%], P =0.472). Two patients in the TAP + RS group needed extra analgesia, although the dermatome pinprick sensation test gave negative results for all patients. Patients who received the TAP + RS block expressed significantly less pain on movement or at rest at 4 h and 8 h postoperative. Fewer patients needed rescue analgesia with tramadol in the postoperative period in the TAP + RS block group than in the SA group ( P <0.05). The intraoperative MAP was more stable ( P <0.05) in the TAP + RS group compared to the SA group. Conclusion The TAP + RS block is a safe, effective method for use as the principal anesthesia technique in PD catheter placement. Compared to SA, it has the advantages of less influence on hemodynamics and a better postoperative analgesic effect.

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Ultrasound-guided left lateral transversus abdominis plane block combined with rectus sheath block in peritoneal dialysis catheter placement

Dai

Liu

et al. 2018

J Anesth

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This study assessed the utility of ultrasound-guided lateral transversus abdominis plane (TAP) block combined with rectus sheath (RS) block for peritoneal dialysis catheter placement surgery. Thirty consecutive patients with end-stage renal disease scheduled to have peritoneal dialysis catheter placement received a left lateral TAP block combined with RS block performed under ultrasound guidance. The TAP and RS blocks were, respectively, conducted with 15 ml of 0.5% ropivacaine and 10 ml of 0.5% ropivacaine. Pain intensity was evaluated by verbal rating scale during operation, and the degree of patient and surgeon satisfaction was qualified by a categorical scale. Twenty-nine patients received successful blocks without any other adjuvant anesthetic drugs. One patient required rescue analgesia with lidocaine infiltration. No complications related to regional anesthesia were noted. Ultrasound-guided left lateral TAP block combined with RS block can serve as the primary anesthetic modality for peritoneal dialysis catheter placement surgery.

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Peritoneal Dialysis Catheter Surgery Using Transversus Abdominis Plane Block

Abstract: The TAP block is a safe and effective technique not only for high-risk ESRD patients but for all patients undergoing PD catheter placement or extraction.

Cited by 6 publications

References 22 publications

Case Report: Synchronous Removal and Implantation of Peritoneal Dialysis Catheter Using Bilateral Transversus Abdominis Plane Block

Case Report: Synchronous Removal and Implantation of Peritoneal Dialysis Catheter Using Bilateral Transversus Abdominis Plane Block

<p>Ultrasound-Guided Unilateral Transversus Abdominis Plane Combined with Rectus Sheath Block versus Subarachnoid Anesthesia in Patients Undergoing Peritoneal Dialysis Catheter Surgery: A Randomized Prospective Controlled Trial</p>

Ultrasound-guided left lateral transversus abdominis plane block combined with rectus sheath block in peritoneal dialysis catheter placement

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