• Blood purification · Jan 2015

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

    • Dean Markić, Božidar Vujičić, Mladen Ivanovski, Kristian Krpina, Antun Gršković, Stela Živčić-Ćosić, Željko Župan, Anton Maričić, Maksim Valenčić, and Sanjin Rački.
    • Department of Urology, University Hospital Rijeka, Rijeka, Croatia.
    • Blood Purif. 2015 Jan 1; 39 (4): 274-80.

    BackgroundPeritoneal 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.MethodsIn 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.ResultsThe 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.ConclusionESRD 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.© 2015 S. Karger AG, Basel.

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