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Ultrasound-guided left lateral transversus abdominis plane block combined with rectus sheath block in peritoneal dialysis catheter placement

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Abstract

This study assessed the utility of ultrasound-guided lateral transversus abdominis plane (TAP) block combined with rectus sheath (RS) block for peritoneal dialysis catheter placement surgery. Thirty consecutive patients with end-stage renal disease scheduled to have peritoneal dialysis catheter placement received a left lateral TAP block combined with RS block performed under ultrasound guidance. The TAP and RS blocks were, respectively, conducted with 15 ml of 0.5% ropivacaine and 10 ml of 0.5% ropivacaine. Pain intensity was evaluated by verbal rating scale during operation, and the degree of patient and surgeon satisfaction was qualified by a categorical scale. Twenty-nine patients received successful blocks without any other adjuvant anesthetic drugs. One patient required rescue analgesia with lidocaine infiltration. No complications related to regional anesthesia were noted. Ultrasound-guided left lateral TAP block combined with RS block can serve as the primary anesthetic modality for peritoneal dialysis catheter placement surgery.

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Acknowledgements

We thank Ms. Qingying Hu from the Department of Operation Theater of Anhui Medical University for her artistic assistance. This study was supported by National Natural Science Foundation of China (No. 81571039).

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Authors and Affiliations

  1. Department of Anesthesiology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, Anhui Province, People’s Republic of China

    Wei Dai, Yao Lu, Lili Tang, Bin Mei & Xuesheng Liu

  2. Department of Anesthesiology, The First College of Clinical Medicine, Anhui Medical University, Hefei, 230022, Anhui Province, People’s Republic of China

    Jia Liu

Authors
  1. Wei Dai
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  2. Yao Lu
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  3. Jia Liu
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  4. Lili Tang
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  5. Bin Mei
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  6. Xuesheng Liu
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Contributions

WD and YL contributed to the conception and design. WD, LT, and XL did the data collection. WD and XL did the analysis and interpretation. YL, JL, BM, and XL did the writing, critical revision of the article. All authors reviewed and approved the final manuscript.

Corresponding author

Correspondence to Xuesheng Liu.

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The authors declare that they have no conflict interests.

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Dai, W., Lu, Y., Liu, J. et al. Ultrasound-guided left lateral transversus abdominis plane block combined with rectus sheath block in peritoneal dialysis catheter placement. J Anesth 32, 645–648 (2018). https://doi.org/10.1007/s00540-018-2528-2

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  • DOI: https://doi.org/10.1007/s00540-018-2528-2

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