Case Report: Synchronous Removal and Implantation of Peritoneal Dialysis Catheter Using Bilateral Transversus Abdominis Plane Block
BackgroundPeritoneal dialysis (PD) surgery include PD catheter insertion and removal. Both procedures require the use of anesthesia. The end-stage renal disease (ESRD) patients usually have severe comorbidities. The general anesthesia, because of its negative systemic effect, should be omitted in th...
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Frontiers Media S.A.
2022-03-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.828930/full |
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| author | Ante Jakšić Božidar Vujičić Božidar Vujičić Diana Deša Antun Gršković Antun Gršković Ivan Vukelić Josip Španjol Josip Španjol Sanjin Rački Sanjin Rački Dean Markić Dean Markić |
| author_facet | Ante Jakšić Božidar Vujičić Božidar Vujičić Diana Deša Antun Gršković Antun Gršković Ivan Vukelić Josip Španjol Josip Španjol Sanjin Rački Sanjin Rački Dean Markić Dean Markić |
| author_sort | Ante Jakšić |
| collection | DOAJ |
| description | BackgroundPeritoneal dialysis (PD) surgery include PD catheter insertion and removal. Both procedures require the use of anesthesia. The end-stage renal disease (ESRD) patients usually have severe comorbidities. The general anesthesia, because of its negative systemic effect, should be omitted in this vulnerable group of the patients. Transversus abdominis plane (TAP) block as a newer method of regional anesthesia is a technique without systemic effect and recently started to be used in ESRD patients for PD catheter placement and/or removal. Here we report a patient in whom we for the first time simultaneously removed and implanted a PD catheter by using a bilateral transversus abdominis plane block.Case PresentationThe patient was an 80-year-old man who was admitted for removal of malfunctioned PD catheter. Since the patient opted for staying on PD simultaneous implantation of catheter was planned. Because of his age and significant comorbidities, general anesthesia was avoided and bilateral TAP block become our option. In the same anesthesia, using bilateral TAP block, the old PD catheter was removed and a new one was implanted. Until now the patient is on regular PD without any complications.ConclusionThe TAP block could be used as a primary anesthetic technique in ESRD patients for PD surgery even for synchronous removal and implantation of PD catheter. |
| first_indexed | 2024-12-12T02:27:33Z |
| format | Article |
| id | doaj.art-1fbb8745acd74558805c16066503adab |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-12T02:27:33Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-1fbb8745acd74558805c16066503adab2022-12-22T00:41:31ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-03-01910.3389/fmed.2022.828930828930Case Report: Synchronous Removal and Implantation of Peritoneal Dialysis Catheter Using Bilateral Transversus Abdominis Plane BlockAnte Jakšić0Božidar Vujičić1Božidar Vujičić2Diana Deša3Antun Gršković4Antun Gršković5Ivan Vukelić6Josip Španjol7Josip Španjol8Sanjin Rački9Sanjin Rački10Dean Markić11Dean Markić12Department of Urology, University Hospital Rijeka, Rijeka, CroatiaDepartment of Nephrology, Dialysis and Kidney Transplantation, University Hospital Rijeka, Rijeka, CroatiaFaculty of Medicine, University of Rijeka, Rijeka, CroatiaDepartment of Anesthesiology and Intensive Care, University Hospital Rijeka, Rijeka, CroatiaDepartment of Urology, University Hospital Rijeka, Rijeka, CroatiaFaculty of Medicine, University of Rijeka, Rijeka, CroatiaDepartment of Urology, University Hospital Rijeka, Rijeka, CroatiaDepartment of Urology, University Hospital Rijeka, Rijeka, CroatiaFaculty of Medicine, University of Rijeka, Rijeka, CroatiaDepartment of Nephrology, Dialysis and Kidney Transplantation, University Hospital Rijeka, Rijeka, CroatiaFaculty of Medicine, University of Rijeka, Rijeka, CroatiaDepartment of Urology, University Hospital Rijeka, Rijeka, CroatiaFaculty of Medicine, University of Rijeka, Rijeka, CroatiaBackgroundPeritoneal dialysis (PD) surgery include PD catheter insertion and removal. Both procedures require the use of anesthesia. The end-stage renal disease (ESRD) patients usually have severe comorbidities. The general anesthesia, because of its negative systemic effect, should be omitted in this vulnerable group of the patients. Transversus abdominis plane (TAP) block as a newer method of regional anesthesia is a technique without systemic effect and recently started to be used in ESRD patients for PD catheter placement and/or removal. Here we report a patient in whom we for the first time simultaneously removed and implanted a PD catheter by using a bilateral transversus abdominis plane block.Case PresentationThe patient was an 80-year-old man who was admitted for removal of malfunctioned PD catheter. Since the patient opted for staying on PD simultaneous implantation of catheter was planned. Because of his age and significant comorbidities, general anesthesia was avoided and bilateral TAP block become our option. In the same anesthesia, using bilateral TAP block, the old PD catheter was removed and a new one was implanted. Until now the patient is on regular PD without any complications.ConclusionThe TAP block could be used as a primary anesthetic technique in ESRD patients for PD surgery even for synchronous removal and implantation of PD catheter.https://www.frontiersin.org/articles/10.3389/fmed.2022.828930/fullcase-reportsend-stage renal diseaseperitoneal dialysis catheterregional anesthesiatransversus abdominis plane (TAP) block |
| spellingShingle | Ante Jakšić Božidar Vujičić Božidar Vujičić Diana Deša Antun Gršković Antun Gršković Ivan Vukelić Josip Španjol Josip Španjol Sanjin Rački Sanjin Rački Dean Markić Dean Markić Case Report: Synchronous Removal and Implantation of Peritoneal Dialysis Catheter Using Bilateral Transversus Abdominis Plane Block Frontiers in Medicine case-reports end-stage renal disease peritoneal dialysis catheter regional anesthesia transversus abdominis plane (TAP) block |
| title | Case Report: Synchronous Removal and Implantation of Peritoneal Dialysis Catheter Using Bilateral Transversus Abdominis Plane Block |
| title_full | Case Report: Synchronous Removal and Implantation of Peritoneal Dialysis Catheter Using Bilateral Transversus Abdominis Plane Block |
| title_fullStr | Case Report: Synchronous Removal and Implantation of Peritoneal Dialysis Catheter Using Bilateral Transversus Abdominis Plane Block |
| title_full_unstemmed | Case Report: Synchronous Removal and Implantation of Peritoneal Dialysis Catheter Using Bilateral Transversus Abdominis Plane Block |
| title_short | Case Report: Synchronous Removal and Implantation of Peritoneal Dialysis Catheter Using Bilateral Transversus Abdominis Plane Block |
| title_sort | case report synchronous removal and implantation of peritoneal dialysis catheter using bilateral transversus abdominis plane block |
| topic | case-reports end-stage renal disease peritoneal dialysis catheter regional anesthesia transversus abdominis plane (TAP) block |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.828930/full |
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