• A&A practice · Oct 2019

    Case Reports

    Abdominal Surgery With Bilateral Rectus Sheath Block: A Case Report.

    • Elizabeth W Duggan, Ratna Vadlamudi, Boris Spektor, and Milad Sharifpour.
    • From the Department of Anesthesiology, Emory University Hospital, Emory University School of Medicine, Atlanta, Georgia.
    • A A Pract. 2019 Oct 1; 13 (7): 278-280.

    AbstractA 44-year-old man, American Society of Anesthesiologists physical status class IV, presented for fulguration of anal condyloma and diverting colostomy. The patient's medical history includes World Health Organization (WHO) class I pulmonary hypertension (PH), right heart failure, and bilateral lower extremity paralysis due to Pott's disease. The patient was not a candidate for neuraxial anesthesia due to sacral decubitus ulcers, and alternative options to general anesthesia (GA) were considered to avoid the high risk of right ventricular (RV) failure and ensuing complications. The case was successfully performed under sedation with dexmedetomidine infusion and bilateral rectus sheath blocks for surgical anesthesia.

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