Stručni rad
PERITONEAL DIALYSIS CATHETER PLACEMENT USING A REGIONAL ANESTHESIA TECHNIQUE: ULTRASOUND-GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK
DEAN MARKIĆ
orcid.org/0000-0001-5696-0850
; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
BOŽIDAR VUJIČIĆ
; Klinički bolnički centar Rijeka, Zavod za nefrologiju i dijalizu, Rijeka, Hrvatska
MLADEN IVANOVSKI
; Klinički bolnički centar Rijeka, Klinika za anesteziologiju i intenzivno liječenje, Rijeka, Hrvatska
KRISTIAN KRPINA
; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
ANTUN GRŠKOVIĆ
; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
DRAŽEN RAHELIĆ
; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
NINO RUBINIĆ
; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
MAURO MATERLJAN
; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
HRVOJE LASIĆ
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
IVANA BOŽINOVIĆ
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
STELA ŽIVČIĆ-ĆOSIĆ
; Klinički bolnički centar Rijeka, Zavod za nefrologiju i dijalizu, Rijeka, Hrvatska
SANJIN RAČKI
orcid.org/0000-0002-3736-0929
; Klinički bolnički centar Rijeka, Zavod za nefrologiju i dijalizu, Rijeka, Hrvatska
JOSIP ŠPANJOL
; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
Sažetak
Peritoneal dialysis (PD) is an established method for renal replacement therapy in patients with end-stage renal disease (ESRD). Transversus abdominis plane (TAP) block is a regional anesthesia technique, since recently used for PD catheter placement. The main aim of this study was to evaluate the efficacy of PD catheter placement using ultrasound-guided TAP block. We studied 43 ESRD patients from our center that underwent PD catheter placement under TAP block between June 2011 and December 2014. TAP block was successful in 38 (91.4%) of 43 patients. The remaining five (8.6%) patients required general anesthesia. All procedures were performed without complications. ESRD patients have a substantially greater number of comorbid conditions compared to general population, many of which are adversely influenced by general anesthesia. Opposite to general anesthesia, regional anesthesia has no systemic effect and using this technique may prove beneficial in this group of patients. In conclusion, TAP block is an effective method for PD catheter placement and should be especially considered in ESRD patients with major comorbidities.
Ključne riječi
end-stage renal disease; peritoneal dialysis catheter; regional anesthesia; transversus abdominis plane block
Hrčak ID:
180122
URI
Datum izdavanja:
6.4.2017.
Posjeta: 1.453 *