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- G Niraj, A Kelkar, and A J Fox.
- Department of Anaesthesia and Critical Care Medicine, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester, UK. nirajgopinath@yahoo.co.uk
- Anaesthesia. 2009 Oct 1;64(10):1137-40.
SummaryThe authors present three cases where catheters placed in the oblique sub-costal transversus abdominis plane provided prolonged analgesia after upper abdominal surgery. Patient 1 was admitted with severe sepsis following major hepatobiliary surgery. Bilateral catheters facilitated weaning from mechanical ventilation and provided adequate analgesia for 4 days. Patient 2 underwent emergency laparotomy for intestinal obstruction having refused consent for epidural analgesia. The transversus abdominis plane catheters provided a significant opioid sparing effect. A unilateral catheter offered rescue analgesia in patient 3 when the epidural catheter was displaced. We put forward a case for oblique sub-costal transversus abdominis plane catheters as an alternative to epidural analgesia after upper abdominal surgery.
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