Transversus abdominis plane block for analgesia after caesarean section in a patient with an intracranial lesion.
We present our management of a 24-year-old primigravida with a recently diagnosed low-grade left temporal astroglioma, who was delivered by elective caesarean section. General anaesthesia with supplementary bilateral ultrasound-guided transversus abdominis plane blocks was chosen to reduce the requirements for intra- and postoperative opioids, the risk of postoperative respiratory depression and the potential exacerbation of borderline raised intracranial pressure.
French
J L H
JL
Department of Anaesthesia, Nottingham University Hospitals NHS Trust (Queens Medical Centre), Nottingham, UK. jfrench@doctors.org.uk
McCullough
J
J
Bachra
P
P
Bedforth
N M
NM
D000009:Abdominal Muscles / Q000000981:diagnostic imaging; D016362:Analgesia, Obstetrical / Q000379:methods*; D016058:Analgesia, Patient-Controlled / Q000379:methods*; D001254:Astrocytoma / Q000150:complications / Q000175:diagnosis; D001932:Brain Neoplasms / Q000150:complications / Q000175:diagnosis; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009407:Nerve Block / Q000379:methods*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis; D018084:Ultrasonography, Interventional; D055815:Young Adult