Transversus abdominis plane block as the primary anesthetic for laparotomy

Transversus abdominis plane block as the primary anesthetic for laparotomy

Elderly patients undergoing emergency intra-abdominal surgery are at high risk for morbidity and mortality. The risks and side-effects associated with intubation and mechanical ventilation or neuraxial anesthesia must be balanced against the need to maintain hemodynamic stability while maximizing pa...

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Veröffentlicht in:Journal of anaesthesiology, clinical pharmacology clinical pharmacology, 2014-07, Vol.30 (3), p.419-421
Hauptverfasser: Vuong, Julie T, McQuillan, Patrick M, Messaris, Evangelos, Adhikary, Sanjib Das
Format: Artikel
Sprache:eng
Schlagworte:
Abdomen
Aged patients
Care and treatment
Case Report
Case studies
Health aspects
Laparotomy
Methods
Nerve block
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container_issue 3
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container_title Journal of anaesthesiology, clinical pharmacology
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creator Vuong, Julie T
McQuillan, Patrick M
Messaris, Evangelos
Adhikary, Sanjib Das
description Elderly patients undergoing emergency intra-abdominal surgery are at high risk for morbidity and mortality. The risks and side-effects associated with intubation and mechanical ventilation or neuraxial anesthesia must be balanced against the need to maintain hemodynamic stability while maximizing pain control. Providing anesthesia and analgesia without either of these techniques can be a difficult prospect. We present three cases of ultrasound guided transversus abdominis plane (TAP) block as the primary anesthetic for laparotomy in elderly patients with multiple comorbidities. We have demonstrated the efficacy of and recommend the use of TAP blocks as the primary surgical anesthetic in a selected group of patients undergoing laparotomy.
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subjects Abdomen
Aged patients
Care and treatment
Case Report
Case studies
Health aspects
Laparotomy
Methods
Nerve block
title Transversus abdominis plane block as the primary anesthetic for laparotomy
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