| Transversus abdominis plane block for an emergency laparotomy in a high-risk, elderly patient. | |
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MedLine Citation:
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PMID: 20885876 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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A 72-year-old male patient with gall bladder perforation and small intestinal obstruction from impacted gall stone was posted for emergency laparotomy. He had congestive heart failure, severe hypertension at admission and history of multiple other coexisting diseases. On admission, he developed pulmonary oedema from systolic hypertension which was controlled by ventilatory support, nitroglycerine and furosemide. Preoperative international normalized ratio was 2.34 and left ventricular ejection fraction was only 20%. Because of risk of exaggerated fall in blood pressure during induction of anaesthesia (general or neuraxial), a transversus abdominis plane block via combined Petit triangle and subcostal technique was administered and supplemented with Propofol sedation. |
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Authors:
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Surekha S Patil; Shonali C Pawar; Vm Divekar; Rochana G Bakhshi |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Indian journal of anaesthesia Volume: 54 ISSN: 0976-2817 ISO Abbreviation: Indian J Anaesth Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-10-04 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0013243 Medline TA: Indian J Anaesth Country: India |
Other Details:
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Languages: eng Pagination: 249-54 Citation Subset: - |
Affiliation:
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Department of Anaesthesiology, Padmashree Dr. D.Y. Patil Medical College and Hospital Research Centre, Nerul, Navi-Mumbai, India. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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