Markić Dean, Vujičić Božidar, Ivanovski Mladen, Krpina Kristian, Gršković Antun, Rahelić Dražen, Rubinić Nino, Župan Željko, Lasić Hrvoje, Materljan Mauro, Rački Sanjin
Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Department of Nephrology, Dialysis and Transplantation, University Hospital Rijeka, Rijeka, Croatia.
Perit Dial Int. 2017 Jul-Aug;37(4):429-433. doi: 10.3747/pdi.2016.00198. Epub 2017 Apr 13.
Peritoneal dialysis (PD) catheter surgery can be performed using regional anesthesia. We present our PD catheter placement and extraction experience using ultrasound-guided transversus abdominis plane (TAP) block.
In the present study, we analyzed 74 patients from our center with end-stage renal disease (ESRD) who underwent PD catheter placement (60 patients) and removal (14 patients) using a TAP block between June 2011 and December 2015.
The TAP block was successful for 55/60 (91.7%) patients (insertion) and 13/14 (92.9%) patients (extraction). Other patients had pain at the incision site and required general anesthesia. There were no anesthesia-, surgery- or PD catheter-related complications.
The TAP block is a safe and effective technique not only for high-risk ESRD patients but for all patients undergoing PD catheter placement or extraction.
腹膜透析（PD）导管手术可采用区域麻醉进行。我们介绍了使用超声引导腹横肌平面（TAP）阻滞进行PD导管置入和拔除的经验。
在本研究中，我们分析了2011年6月至2015年12月期间在我们中心接受终末期肾病（ESRD）治疗的74例患者，这些患者使用TAP阻滞进行了PD导管置入（60例）和拔除（14例）。
TAP阻滞在55/60（91.7%）例患者（置入）和13/14（92.9%）例患者（拔除）中成功。其他患者在切口部位疼痛，需要全身麻醉。没有与麻醉、手术或PD导管相关的并发症。
TAP阻滞不仅对高危ESRD患者，而且对所有接受PD导管置入或拔除的患者都是一种安全有效的技术。
