Transversus abdominis plane block for an emergency laparotomy in a high-risk, elderly patient.
Publication/Presentation Date
5-1-2010
Abstract
A 72-year-old male patient with gall bladder perforation and small intestinal obstruction from impacted gall stone was posted for emergency laparotomy. He had congestive heart failure, severe hypertension at admission and history of multiple other coexisting diseases. On admission, he developed pulmonary oedema from systolic hypertension which was controlled by ventilatory support, nitroglycerine and furosemide. Preoperative international normalized ratio was 2.34 and left ventricular ejection fraction was only 20%. Because of risk of exaggerated fall in blood pressure during induction of anaesthesia (general or neuraxial), a transversus abdominis plane block via combined Petit triangle and subcostal technique was administered and supplemented with Propofol sedation.
Volume
54
Issue
3
First Page
249
Last Page
254
ISSN
0976-2817
Published In/Presented At
Patil, S. S., Pawar, S. C., Divekar, V., & Bakhshi, R. G. (2010). Transversus abdominis plane block for an emergency laparotomy in a high-risk, elderly patient. Indian journal of anaesthesia, 54(3), 249–254. https://doi.org/10.4103/0019-5049.65377
Disciplines
Anesthesiology | Medicine and Health Sciences
PubMedID
20885876
Department(s)
Department of Anesthesiology
Document Type
Article