scholarly journals Anesthetic management with subcostal transversus abdominis plane block in recessive dystrophic epidermolysis bullosa for peritoneal dialysis catheter replacement: a case report

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Katsuhiro Aikawa ◽  
Nobuhiro Tanaka ◽  
Yuji Morimoto
Keyword(s):  
Peritoneal Dialysis ◽  
Anesthetic Management ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Transversus Abdominis Plane ◽  
Dystrophic Epidermolysis Bullosa ◽  
Recessive Dystrophic Epidermolysis Bullosa ◽  
Catheter Replacement

Transversus abdominis plane block as the primary anesthetic for peritoneal dialysis catheter surgery

2016 ◽  
Vol 31 ◽  
pp. 182-188 ◽  
Author(s):  
Daryl S. Henshaw ◽  
Matthew L. Baker ◽  
Robert S. Weller ◽  
Jon Wellington Reynolds ◽  
Jonathan Douglas Jaffe
Keyword(s):  
Peritoneal Dialysis ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Transversus Abdominis Plane

Repair of Chronic Peritoneal Dialysis Catheter

1998 ◽  
Vol 18 (4) ◽  
pp. 419-423 ◽  
Author(s):  
Kumari Usha ◽  
Leonor Ponferrada ◽  
Barbara F. Prowant ◽  
Zbylut J. Twardowski
Keyword(s):  
Peritoneal Dialysis ◽  
Prophylactic Antibiotic ◽  
Patch Repair ◽  
Peritoneal Dialysis Catheter ◽  
Safe Procedure ◽  
Dialysis Catheter ◽  
Exit Site ◽  
Accidental Injury ◽  
Extension Tube ◽  
Catheter Replacement

Background Damage to the peritoneal dialysis catheter may be due to wear from long-term use, exposure to antibacterial agents (strong oxidants), and accidental injury from sharp objects. Repair of such catheter, if not associated with subsequent complications, would extend catheter life and reduce costs and patient inconvenience related to catheter replacement. Objective and Design Retrospective analysis of seven peritoneal catheters repaired 11 times over a 15-year period by splicing the old catheter with an extension tube using the Peri-Patch Repair Kit (Quinton Instrument Co., Bothwell, WA, U.S.A.). Results The life of these seven catheters was extended by a mean of 26 months (range 1 -87 months), without increasing infection rates after splicing. The peritonitis rate after catheter splicing was 0.40 per year, not higher than the overall rate (0.76 per year) in our center during the same time period. Exit-site infections occurred in 6 patients after catheter splicing. Only one infection was related to trauma during the procedure and resulted in chronic exit infection; the catheter was eventually removed. In this patient, damage to the catheter was less than 1.5 cm from the exit site. Conclusions and Recommendations Splicing of the damaged peritoneal catheter, if properly done, is a safe procedure and can significantly prolong catheter life. We recommend that measures to prevent catheter damage, such as avoiding the use of scissors and other sharp objects, should be emphasized during the initial patient education and training. Alcohol and iodine should not be used on silicone rubber catheters. We suggest that the patient should report catheter damage immediately and come to the clinic within a few hours for catheter splicing (if possible) and prophylactic antibiotic to prevent peritonitis. Finally, we recommend that repair of the catheter should not be attempted if the breakage is less than 2 cm from the exit site, unless done as an emergency procedure if immediate catheter replacement cannot be performed.

Peritoneal Dialysis Catheter Placement Using an Ultrasound-Guided Transversus Abdominis Plane Block

2015 ◽  
Vol 39 (4) ◽  
pp. 274-280 ◽  
Author(s):  
Dean Markić ◽  
Božidar Vujičić ◽  
Mladen Ivanovski ◽  
Kristian Krpina ◽  
Antun Gršković ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
General Anesthesia ◽  
Regional Anesthesia ◽  
Catheter Placement ◽  
Transversus Abdominis ◽  
Peritoneal Dialysis Catheter ◽  
Tap Block ◽  
Transversus Abdominis Plane ◽  
Ultrasound Guided ◽  
Anesthesia Technique

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.

Ultrasound-Guided Oblique Sub-Costal Transversus Abdominis Plane Block as the Principal Anesthesia Technique in Peritoneal Dialysis Catheter Implantation and Plasma Ropivacaine Concentration Evaluation in Esrd Patients: A Prospective, Randomized, Double-Blinded, Controlled Trial

2018 ◽  
Vol 38 (3) ◽  
pp. 192-199 ◽  
Author(s):  
Zi Li ◽  
Xiao Hong Tang ◽  
Qi Li ◽  
Wen-juan Zhang ◽  
Tian Tao ◽  
...  
Keyword(s):  
Transversus Abdominis ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Tap Block ◽  
Transversus Abdominis Plane ◽  
Ultrasound Guided ◽  
Anesthesia Technique ◽  
End Stage ◽  
Esrd Patients ◽  
Venous Plasma

BackgroundThe ultrasound-guided transversus abdominis plane (TAP) block is generally used for analgesia but not for anesthesia. A TAP block has a partial analgesic effect on the parietal peritoneum in abdominal surgeries. We hypothesized that an ultrasound-guided oblique subcostal TAP block, used as the principal anesthesia technique, could provide a better anesthetic effect on peritoneum stimulation in peritoneal dialysis catheter (PDC) implantation in end-stage renal diseases (ESRD) patients than local anesthetic infiltration (LAI).MethodsEnd-stage renal disease patients undergoing PDC implantation were randomized into 3 groups: LAI Group, unilateral TAP group (Uni-TAP Group) and bilateral TAP group (Bi-TAP Group). A 40-mL dose of 0.25% ropivacaine was used for the regional block (LAI or TAP). The quality of anesthesia, visual analogue scale (VAS) of pain, cumulative rescuing sufentanil consumption, and venous plasma ropivacaine concentrations were compared among the 3 groups.ResultsSixty-nine patients were enrolled, and higher ‘Satisfied’ anesthesia rates from nephrologists and patients were recorded in the 2 TAP groups, compared with the LAI Group. Significantly lower VAS scores were observed in the Uni-TAP Group at a majority of time points compared with the LAI Group. Less cumulative rescuing sufentanil was used in the 2 TAP groups (2.5 ± 2.7 and 3.0 ± 2.8 μg, respectively) compared with the LAI Group (5.8 ± 2.6 μg, p < 0.05). The median peak venous plasma ropivacaine concentrations were below the reported toxic threshold in all 3 groups.ConclusionsAs the principal anesthesia technique, an ultrasound-guided unilateral oblique subcostal TAP block with 40 mL of 0.25% ropivacaine provided better anesthetic effect in PDC implantations in ESRD patients than LAI.

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