Dean Markić1, Božidar Vujičić2, Mladen Ivanovski3, Kristian Krpina4, Antun Gršković4, Dražen Rahelić4, Nino Rubinić4, Željko Župan3, Hrvoje Lasić5, Mauro Materljan4, Sanjin Rački2. 1. Department of Urology, University Hospital Rijeka, Rijeka, Croatia dean.markic@ri.htnet.hr. 2. Department of Nephrology, Dialysis and Transplantation, University Hospital Rijeka, Rijeka, Croatia. 3. Department of Anesthesiology and Intensive Care, University Hospital Rijeka, Rijeka, Croatia. 4. Department of Urology, University Hospital Rijeka, Rijeka, Croatia. 5. School of Medicine, University of Rijeka, Rijeka, Croatia.
Abstract
BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSION: The TAP block is a safe and effective technique not only for high-risk ESRDpatients but for all patients undergoing PD catheter placement or extraction.
Authors: Ante Jakšić; Božidar Vujičić; Diana Deša; Antun Gršković; Ivan Vukelić; Josip Španjol; Sanjin Rački; Dean Markić Journal: Front Med (Lausanne) Date: 2022-03-01