Successful Postoperative Management of a Pediatric Patient with Renal Failure by Ultrasound-guided Transversus Abdominis Plane and Rectus Sheath Block

We report the successful postoperative pain man- agement of a pediatric patient with end-stage renal failure by ultrasound-guided peripheral nerve block following peritoneal dialysis catheter surgery. A 2-year-old boy with kidney hypoplasia was scheduled for peritoneal dialysis catheter implantation...

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Bibliographic Details
Published inMasui. The Japanese journal of anesthesiology Vol. 65; no. 10; p. 1037
Main Authors Komasawa, Nobuyasu, Miyazaki, Yu, Imagawa, Kentaro, Hattorl, Kazuo, Minami, Toshiaki
Format Journal Article
LanguageJapanese
Published Japan 01.10.2016
Subjects
Abdominal Muscles - innervation
Abdominal Wall
Catheterization
Child, Preschool
Humans
Kidney Failure, Chronic
Male
Nerve Block
Pain, Postoperative - drug therapy
Postoperative Period
Ultrasonography
Ultrasonography, Interventional
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Summary:We report the successful postoperative pain man- agement of a pediatric patient with end-stage renal failure by ultrasound-guided peripheral nerve block following peritoneal dialysis catheter surgery. A 2-year-old boy with kidney hypoplasia was scheduled for peritoneal dialysis catheter implantation under gen- eral anesthesia. Anesthesia was induced with nitrous oxide and sevoflurane in a slow incremental manner. Airway management was performed with i-gelo to minimize stress and to protect the cervical spine. Maintenance of anesthesia was achieved with sevoflu- rane and remifentanil. For postoperative analgesia, opi- oids were not used in order to avoid respiratory sup- pression or CO2 accumulation. Recovery from anesthe- sia was uneventful and the boy did not experience pain until the next morning.
ISSN:0021-4892