Transversus abdominis plane block for analgesia after caesarean section in a patient with an intracranial lesion

ABSTRACT We present our management of a 24-year-old primigravida with a recently diagnosed low-grade left temporal astroglioma, who was delivered by elective caesarean section. General anaesthesia with supplementary bilateral ultrasound-guided transversus abdominis plane blocks was chosen to reduce...

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Veröffentlicht in:	International journal of obstetric anesthesia 2009-01, Vol.18 (1), p.52-54
Hauptverfasser:	French, J.L.H, McCullough, J, Bachra, P, Bedforth, N.M
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdominal Muscles - diagnostic imaging Analgesia, Obstetrical - methods Analgesia, Patient-Controlled - methods Anesthesia & Perioperative Care Astrocytoma - complications Astrocytoma - diagnosis Brain Neoplasms - complications Brain Neoplasms - diagnosis Caesarean section Cesarean Section Female Humans Intracranial lesion Magnetic Resonance Imaging Nerve Block - methods Obstetrics and Gynecology Pregnancy Pregnancy Complications, Neoplastic - diagnosis Transversus abdominis plane block Ultrasonography, Interventional Ultrasound Young Adult
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Zusammenfassung:	ABSTRACT We present our management of a 24-year-old primigravida with a recently diagnosed low-grade left temporal astroglioma, who was delivered by elective caesarean section. General anaesthesia with supplementary bilateral ultrasound-guided transversus abdominis plane blocks was chosen to reduce the requirements for intra- and postoperative opioids, the risk of postoperative respiratory depression and the potential exacerbation of borderline raised intracranial pressure.
ISSN:	0959-289X 1532-3374
DOI:	10.1016/j.ijoa.2008.06.005