使用超声引导下腹横肌平面阻滞进行腹膜透析导管置入术
Peritoneal Dialysis Catheter Placement Using an Ultrasound-Guided Transversus Abdominis Plane Block.
作者信息
Markić Dean, Vujičić Božidar, Ivanovski Mladen, Krpina Kristian, Gršković Antun, Živčić-Ćosić Stela, Župan Željko, Maričić Anton, Valenčić Maksim, Rački Sanjin
机构信息
Department of Urology, University Hospital Rijeka, Rijeka, Croatia.
出版信息
Blood Purif. 2015;39(4):274-80. doi: 10.1159/000381005. Epub 2015 Apr 29.
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.
背景
腹膜透析（PD）导管置入通常采用全身麻醉或局部麻醉。我们介绍了我们使用超声引导下腹横肌平面（TAP）阻滞进行PD导管置入的经验，这是一种区域麻醉技术。
方法
在本研究中，我们分析了2011年6月至2014年4月期间在我们中心接受ESRD且使用TAP阻滞进行PD导管置入的33例患者。
结果
TAP阻滞在29/33（87.9%）的患者中成功。4例患者（12.1%）在切口部位疼痛，需要全身麻醉。没有与麻醉、手术或导管相关的并发症。
结论
ESRD患者有大量合并症，全身麻醉可能会对其产生负面影响。由于区域麻醉没有全身作用，该手术可推荐给这组患者。TAP阻滞是一种有效、安全的方法，可作为PD导管置入的主要麻醉技术。
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