We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Revision of loop colostomy under regional anaesthesia and sedation.
- Authors
Ng, Oriana; Sze Ying Thong; Chia, Claramae Shulyn; Teo, Melissa Ching Ching
- Abstract
Patients presenting for emergency abdominal procedures often have medical issues that cause both general anaesthesia and central neuraxial blockade to pose significant risks. Regional anaesthetic techniques are often used adjunctively for abdominal procedures under general anaesthesia, but there is limited published data on procedures done under peripheral nerve or plexus blocks. We herein report the case of a patient with recent pulmonary embolism and supraventricular tachycardia who required colostomy refashioning. Ultrasonography-guided regional anaesthesia was administered using a combination of ilioinguinal-iliohypogastric, rectus sheath and transversus abdominis plane blocks. This was supplemented with propofol and dexmedetomidine sedation as well as intermittent fentanyl and ketamine boluses to cover for visceral stimulation. We discuss the anatomical rationale for the choice of blocks and compare the anaesthetic conduct with similar cases that were previously reported.
- Subjects
COLOSTOMY; ANESTHESIA; ABDOMINAL wall; TACHYCARDIA; CONSCIOUS sedation; ULTRASONIC imaging; PATIENTS; SURGERY
- Publication
Singapore Medical Journal, 2015, Vol 56, Issue 5, pe89
- ISSN
0037-5675
- Publication type
Case Study
- DOI
10.11622/smedj.2015081