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Anesthetic management with subcostal transversus abdominis plane block in recessive dystrophic epidermolysis bullosa for peritoneal dialysis catheter replacement : a case report
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| Title: | Anesthetic management with subcostal transversus abdominis plane block in recessive dystrophic epidermolysis bullosa for peritoneal dialysis catheter replacement : a case report |
| Authors: | Aikawa, Katsuhiro Browse this author | | Tanaka, Nobuhiro Browse this author | | Morimoto, Yuji Browse this author →KAKEN DB |
| Keywords: | Recessive dystrophic epidermolysis bullosa | | Subcostal transversus abdominis plane block | | Placement of peritoneal dialysis catheter |
| Issue Date: | 8-May-2018 |
| Publisher: | Springer |
| Journal Title: | JA Clinical Reports |
| Volume: | 4 |
| Start Page: | 37 |
| Publisher DOI: | 10.1186/s40981-018-0175-0 |
| Abstract: | Background: Recessive dystrophic epidermolysis bullosa (RDEB) is a rare, hereditary mucocutaneous disorder that can involve renal insufficiency. If a vascular access for hemodialysis is unavailable, peritoneal dialysis can be utilized. This report describes an anesthetic management with ultrasound-guided transversus abdominis plane block (TAPB) in a patient with RDEB for peritoneal dialysis catheter replacement. Case presentation: A 49-year-old woman with RDEB needed to undergo peritoneal dialysis catheter replacement. As general, neuraxial and local infiltration anesthesia can lead to serious complications; we planned anesthetic management with subcostal TAPB as the primary analgesia modality. In the operating theater, surgery was initiated after performing left-sided subcostal TAPB. The patient complained of moderate pain at some points during surgery, and the pain was controlled with intravenous or local anesthetics without serious complications. Conclusions: In summary, subcostal TAPB could be a useful option for peritoneal dialysis catheter surgery in patients with RDEB. |
| Rights: | http://creativecommons.org/licenses/by/4.0/ |
| Type: | article |
| URI: | http://hdl.handle.net/2115/70997 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 相川 勝洋
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