Peritoneal Dialysis Catheter Placement Using an Ultrasound-Guided Transversus Abdominis Plane Block.
BACKGROUND
Peritoneal dialysis (PD) catheter placement is usually performed using general or local anesthesia. We present our PD catheter placement experience using an ultrasound-guided transversus abdominis plane (TAP) block, which is a regional anesthesia technique.


METHODS
In this study, we analyzed 33 patients from our center with ESRD who underwent PD catheter placement using a TAP block between June 2011 and April 2014.


RESULTS
The TAP block was successful for 29/33 (87.9%) patients. Four patients (12.1%) had pain at the incision site and required general anesthesia. There were no anesthesia-, surgery- or catheter-related complications.


CONCLUSIONS
ESRD patients have a substantial number of comorbidities that can be negatively influenced by general anesthesia. Because regional anesthesia has no systemic effect, this procedure could be recommended for this group of patients. A TAP block is an effective, safe method and can be used as the principal anesthesia technique for PD catheter placement.
Department of Urology, University Hospital Rijeka, Rijeka, Croatia.
Dean
D
Markić
Božidar
B
Vujičić
Mladen
M
Ivanovski
Kristian
K
Krpina
Antun
A
Gršković
Stela
S
Živčić-Ćosić
Željko
Ž
Župan
Anton
A
Maričić
Maksim
M
Valenčić
Sanjin
S
Rački
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002406:Catheterization, Peripheral / Q000379:methods*; D015897:Comorbidity; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000379:methods; D012307:Risk Factors; D018084:Ultrasonography, Interventional / Q000379:methods*