Transversus Abdominis Plane Block With Ilioinguinal–Iliohypogastric Nerve a Viable Alternative to Provide Surgical Anesthesia for Cesarean Delivery: A Case Report. Issue 6 (15th March 2019)

• Record Type: Journal Article
• Authors: Hayaran, Nitin; Malhotra, Rohit; Tyagi, Swati; Jain, Aruna
• Is Part Of: A & A practice. Volume 12:Issue 6(2019)
• Publication Date: 2019-03-15
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000875
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Acute fatty liver of pregnancy is one of the most common causes of fulminant hepatic failure. A 28-year-old G3P1L1A1 presented at 37 weeks with diagnosis of acute fatty liver of pregnancy with grade 3 hepatic encephalopathy. Laboratory findings were suggestive of coagulopathy, metabolic acidosis, and liver and renal dysfunction. Ultrasound-guided transversus abdominis plane block with ilioinguinal–iliohypogastric nerve block is widely used for postoperative analgesia. We applied these blocks, supplemented with intravenous ketamine for breakthrough visceral pain, to conduct cesarean delivery with a favorable outcome. Thus, transversus abdominis plane with ilioinguinal–iliohypogastric is a viable alternative in patients where general and neuraxial anesthesia is unsafe.