Naslov
Peritoneal dialysis catheter placement using ultrasound-guided transversus abdominis plane block: a pilot study

Autori
Vujičić, Božidar ; Markić, Dean ; Ivanovski, Mladen ; Krpina, Kristian ; Gršković, Antun ; Župan, Željko ; Maričić, Anton ; Rački, Sanjin

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
15th Congress of the International Society for Peritoneal Dialysis Abstract Book / - Madrid, 2014

Skup
15th Congress of the International Society for Peritoneal Dialysis

Mjesto i datum
Madrid, Španjolska, 07.09.2014. - 10.09.2014

Vrsta sudjelovanja
Poster

Vrsta recenzije
Nije recenziran

Ključne riječi
peritoneal dialysis; TAP block

Sažetak
Objectives: Peritoneal dialysis (PD) catheter placement is performed using several type of anesthesia nowadays. Except general and local anaesthesia, ultrasound-guided regional anesthesia technique can be used for insertion of PD catheter. We present our first exprience with PD catheter placement using ultrasound-guided transversus abdominis plane (TAP) block. Methods. In our pilot study, we prospectively analyzed end stage renal disease patients who underwent PD catheter (straight, double-cuff, Tenckhoff type) placement using a TAP block between June 2011 and April 2013. The correct neurovascular plane was identified using ultrasound. A combined posterior and subcostal approach was used in all patients. PD catheter placement was performed by open surgery. The patients were followed-up for anesthesia-, surgery- and catheter-related complications. Results. We analyzed 15 (9 male, 60%) patients, mean age 57.86±3.09 years. TAP block was performed using 30 mL of 0.5% levobupivacaine hydrochloride for 12/15 (80%) patients or 30 mL of 0.75% ropivacaine for 3/15 (20%) patients, and was successful for 13/15 (86.7%) patients. Two patients (13.3%) had pain at the incision site and required general anesthesia. There were no anaesthesia-, surgery- or catheter- related complications in the first postoperative month. All patients were started on continuous ambulatory peritoneal dialysis four weeks after PD catheter placement. Conclusion. According to our preliminary results, ultrasound-guided TAP block is an effective and safe method of regional anesthesia for PD catheter placement. The future prospective studies with more patients are needed.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA