Transversus Abdominis Plane Block for Inguinal Hernia Repair in a Premature Infant: A Case Report.
In this report, we describe the case of a premature infant (36 weeks' postgestational age) who underwent left inguinal hernia repair under general anesthesia without the use of any airway device. Anesthesia was induced and maintained with sevoflurane in oxygen and nitrous oxide. An ultrasound-guided transversus abdominis plane block was performed that provided effective analgesia, obviating the need for opioids in the intraoperative period. The infant's hemodynamics remained stable throughout the surgery. This report also briefly explains the advantages of using a transversus abdominis plane block, compared with neuraxial blockade, for hernia repair surgery.
From the Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, Delhi, India.
Rashmi
R
Ramachandran
Sumit
S
Bansal
Preeti
P
Yadav
Vimi
V
Rewari
D000009:Abdominal Muscles / Q000294:innervation; D000768:Anesthesia, General / Q000379:methods; D018685:Anesthetics, Inhalation / Q000008:administration & dosage*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008738:Methyl Ethers / Q000008:administration & dosage*; D009407:Nerve Block / Q000379:methods*; D000077149:Sevoflurane; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane