scholarly journals Ultrasound-guided transversus abdominis plane block: What are the benefits of adding dexmedetomidine to ropivacaine?

2017 ◽  
Vol 11 (1) ◽  
pp. 58 ◽  
Author(s):  
Manjaree Mishra ◽  
ShashiPrakash Mishra ◽  
SomendraPal Singh
2020 ◽  
pp. 1-3

Osteogenesis imperfecta (OI) is characterized by bone fragility, defects in the teeth, blue sclera, and deficits in hearing and vision [1,2]. Because of an anticipated difficult airway and back anatomy, there is a high risk of choosing either general or spinal anesthesia, especially in critically ill obstetric patients. It is still controversy about the anesthesia method in patients with OI. Ultrasound-guided transversus abdominis plane block (TAPB) has been used for analgesia after cesarean section, but rarely for anesthesia in this operation [3-5]. We describe a critically parturient with OI who underwent cesarean section under ultrasound guided TAPB with spontaneous breathing general anesthesia. The patient's vital signs have remained stable during the operation, and a live female infant was delivered successfully by cesarean section. The mother and daughter were safe at last. Written informed consent was provided by the patient for publication of this report with photos.created.


Pain ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Susan M. Moeschler ◽  
E. Morgan Pollard ◽  
Matthew J. Pingree ◽  
Thomas P. Pittelkow ◽  
Mark A. Bendel ◽  
...  

2016 ◽  
Vol 3 (1) ◽  
pp. 50-52 ◽  
Author(s):  
Rupesh Kumar Yadav ◽  
Anuj Jung Rayamajhi ◽  
Prajjwal Raj Bhattarai ◽  
Subash Chandra Paudel

Ultrasound-guided transversus abdominis plane block is an extremely attractive technique ensuring adequate perioperative analgesia. The use of ultrasound has enhanced the accuracy of local anaesthetic deposition in the plane between internal oblique and transversus abdominis, thereby blocking the spinal nerves more effectively and hence enhancing the efficacy of analgesia. Pregnancy is associated with higher frequency of arrhythmias in Wolff-Parkinson-White syndrome and poor perioperative pain management may contribute to life threatening arrhythmias. We report a case of Wolff-Parkinson-White syndrome posted for elective caesarean section, managed successfully under regional anesthesia with transverses abdominis plane block. The block and catheter were deposited under ultrasound guidance with continuous infusion of 0.2% of ropivacaine was used for postoperative pain relief.  Dexmetedomidine was also used as intravenous adjunct at titrated dose of 0.4-0.6 mics/kg/min to attenuate maternal hormonal and hemodynamics during surgery.


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