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Low Concentration Epidural Anesthesia Combined with Transversus Abdominis Plane Block -- A Case Report in A High-risk Colostomy Operation

  • Tzu-Chun Wang1
  • Chia-Hsiang Huang1

1Department of Anesthesiology, Taitung Mackay memorial hospital, Taitung, Taiwan

DOI: 10.22514/sv.2020.16.0061 Vol.17,Issue 1,January 2021 pp.205-208

Published: 08 January 2021

*Corresponding Author(s): Tzu-Chun Wang E-mail: ff_west@hotmail.com

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Abstract

We report a high-risk cachexia patient receiving special regional anesthesia in a colostomy operation. Because of multiple underlying diseases and severe malnutrition status, we combined epidural anesthesia (EA) with transversus abdominis plane (TAP) block. Low concentration EA (Lidocaine 1% as test dose and rescue dose; Bupivacaine 0.2% as loading and maintenance dose) aimed for visceral pain; subcostal TAP block (Bupivacaine 0.25%) focused on the skin incision. The colostomy was done completely without any complication. Our case showed that low concentration EA combined with TAP block provided stable and sufficient anesthesia and could be a sole anesthesia technique in a colostomy.

Keywords

Epidural anesthesia, Truncal blocks, Transversus abdominis plane block, Critical Care

Cite and Share

Tzu-Chun Wang,Chia-Hsiang Huang. Low Concentration Epidural Anesthesia Combined with Transversus Abdominis Plane Block -- A Case Report in A High-risk Colostomy Operation. Signa Vitae. 2021. 17(1);205-208.

URL:

https://www.signavitae.com/articles/10.22514/sv.2020.16.0061

References

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[8] Aditianingsih D, Mochtar CA, Chandra S, et al. Comparison of Three-Quadrant Transversus Abdominis Plane Block and Continuous Epidural Block for Postoperative Analgesia After Transperitoneal Laparoscopic Nephrectomy. Anesth Pain Med. 2018;8:e80024.

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[10] Canakci E, Gultekin A, Cebeci Z, et al. The Analgesic Efficacy of Transverse Abdominis Plane Block versus Epidural Block after Caesarean Delivery: Which One Is Effective? TAP Block? Epidural Block? Pain Res Manag. 2018;2018:3562701.

[11] Iyer SS, Bavishi H, Mohan CV, et al. Comparison of Epidural Analgesia with Transversus Abdominis Plane Analgesia for Postoperative Pain Relief in Patients Undergoing Lower Abdominal Surgery: A Prospective Randomized Study. Anesth Essays Res. 2017;11:670-675.

[12] Ueshima H, Yoshioka A, Sumi C, et al. [Combined use of continuous epidural anesthesia nand transversus abdominis plane block for postop-erative management of cesarean delivery in a patient whose previous cesarean deliveries were not properly controlled]. Masui. 2014;63:561-563.

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