1. Peritoneal Dialysis Catheter Placement Using an Ultrasound-Guided Transversus Abdominis Plane Block
- Author
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Željko Župan, Maksim Valenčić, Stela Živčić-Ćosić, Dean Markić, Antun Gršković, Mladen Ivanovski, Anton Maričić, Božidar Vujičić, Kristian Krpina, and Sanjin Rački
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,End-stage renal disease ,Peritoneal dialysis cathete ,Regional anesthesia ,Transversus abdominis plane block ,Comorbidity ,Peritoneal dialysis ,End stage renal disease ,Risk Factors ,Transversus Abdominis Plane Block ,Catheterization, Peripheral ,medicine ,Peritoneal dialysis catheter ,Humans ,Local anesthesia ,Ultrasonography, Interventional ,Aged ,Aged, 80 and over ,business.industry ,Hematology ,General Medicine ,Middle Aged ,Ultrasound guided ,Surgery ,Nephrology ,Anesthesia ,Kidney Failure, Chronic ,Female ,Catheter placement ,business ,Peritoneal Dialysis - Abstract
Background: Peritoneal dialysis (PD) catheter placement is usually performed using general or local anesthesia. We present our PD catheter placement experience using an ultrasound-guided transversus abdominis plane (TAP) block, which is a regional anesthesia technique. Methods: In this study, we analyzed 33 patients from our center with ESRD who underwent PD catheter placement using a TAP block between June 2011 and April 2014. Results: The TAP block was successful for 29/33 (87.9%) patients. Four patients (12.1%) had pain at the incision site and required general anesthesia. There were no anesthesia-, surgery- or catheter-related complications. Conclusion: ESRD patients have a substantial number of comorbidities that can be negatively influenced by general anesthesia. Because regional anesthesia has no systemic effect, this procedure could be recommended for this group of patients. A TAP block is an effective, safe method and can be used as the principal anesthesia technique for PD catheter placement.
- Published
- 2015
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