title: Transversus abdominis plane and ilioinguinal/iliohypogastric blocks for cesarean delivery in a patient with type II spinal muscular atrophy.
abstract: While neuraxial and general anesthetic techniques are most commonly utilized for cesarean delivery, there are rare instances in which alternative techniques may be considered. We report a patient with type II spinal muscular atrophy who had relative contraindications to both neuraxial and general anesthesia, and had experienced significant discomfort during two previous cesarean deliveries performed with local anesthetic infiltration. We describe the successful use of bilateral ultrasound-guided transversus abdominis plane and ilioinguinal/iliohypogastric blocks, in addition to intravenous sedation, for cesarean delivery anesthesia.
authors.affiliation: Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA. Electronic address: john.coffman@osumc.edu.
authors.forename: J C
authors.initials: JC
authors.lastname: Coffman
authors.affiliation: Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
authors.forename: K
authors.initials: K
authors.lastname: Fiorini
authors.affiliation: Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
authors.forename: G
authors.initials: G
authors.lastname: Ristev
authors.affiliation: Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
authors.forename: W
authors.initials: W
authors.lastname: Beeston
authors.affiliation: Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
authors.forename: R H
authors.initials: RH
authors.lastname: Small
mesh_terms: D000009:Abdominal Muscles / Q000294:innervation*; D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D009407:Nerve Block / Q000379:methods*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology*; D014897:Spinal Muscular Atrophies of Childhood / Q000503:physiopathology*; D018084:Ultrasonography, Interventional
keywords: Cesarean; Ilioinguinal/iliohypogastric; Spinal muscular atrophy; Transversus abdominis plane