[Assessment of intraoperative hemodynamics, infusion volume, urinary output and dose of circulatory drugs in general anesthesia with transversus abdominis plane block for cholecystectomy].
We retrospectively reviewed intraoperative hemodynamics, infusion volume, urinary output and dose of circulatory drugs in patients undergoing cholecystectomy in 3 types of anesthesia group: General anesthesia (GA group), general anesthesia with epidural anesthesia (EPI group) and general anesthesia with transversus abdominis plane (TAP) block (TAPB group). TAP block was performed using ultrasound-guided subcostal method and 20-30 ml of ropivacaine (0.2-0.3%) was injected to TAP bilaterally. Though, the blood pressure in TAPB group was lower than that in GA group, the degree of low blood pressure was smaller than that in EPI group. Less changes in intraoperative blood pressure, infusion volume and dose of phenylephrine in TAPB group compared to those in EPI group can be the advantage of TAP block alternative to epidural anesthesia.
Department of Anesthesiology, Yamanashi Prefectural Central Hospital, Kofu 400-8506.
Atsushi
A
Furuya
Kodai
K
Ikemoto
Nobumasa
N
Asano
Fumimasa
F
Tamaki
Satomi
S
Suzuki
Akihiko
A
Nonaka
D000368:Aged; D000767:Anesthesia, Epidural; D000768:Anesthesia, General / Q000379:methods*; D001794:Blood Pressure / Q000502:physiology*; D002763:Cholecystectomy; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D009407:Nerve Block / Q000379:methods*; D010656:Phenylephrine / Q000008:administration & dosage; D012189:Retrospective Studies; D014554:Urination / Q000502:physiology*; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
D014662:Vasoconstrictor Agents; D010656:Phenylephrine