Truncal blocks: rectus sheath catheters

2.50
Hdl Handle:
http://hdl.handle.net/11287/620921
Title:
Truncal blocks: rectus sheath catheters
Authors:
Daugherty, Mark
Other Titles:
Analgesia in Major Abdominal Surgery
Abstract:
Successful enhanced recovery after surgery relies on early mobilisation and nutrition. The former relies on effective analgesia, which also indirectly affects the latter. Effective analgesia is a primary technique which when combined with maximal multimodal analgesia, provides adequate pain relief without motor blockade, urinary retention and hypotension whilst avoiding high dose systemic opiate, and its antecedent side effects. Other attributes required for widespread application of a technique are safety, lack of cumbersome attachments, minimal contraindications and ease of deployment and training. The resurgence of the forgotten technique of rectus sheath blockade, improved by the recent ability to prolong the block by bilateral catheter insertion in the rectus sheath space, may satisfy all the requirements of effective analgesia for patients undergoing open midline abdominal surgery. These catheters can be placed prior to surgery under ultrasound guidance or directly by the surgeon. Furthermore, they may also be placed postoperatively under ultrasound guidance on the intensive care unit prior to waking patients who have been ventilated following emergency surgery.
Citation:
Krige, A; Daugherty, M. Truncal blocks: rectus sheath catheters. In: Analgesia in Major Abdominal Surgery, 2018: Springer.
Publisher:
Springer
Issue Date:
Oct-2018
URI:
http://hdl.handle.net/11287/620921
DOI:
10.1007/978-3-319-94482-1_12
Additional Links:
https://link.springer.com/chapter/10.1007/978-3-319-94482-1_12
Type:
Book chapter
Language:
en
ISBN:
9783319944807
Appears in Collections:
Anaesthetics; 2018 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorDaugherty, Marken
dc.date.accessioned2018-11-19T14:16:48Z-
dc.date.available2018-11-19T14:16:48Z-
dc.date.issued2018-10-
dc.identifier.citationKrige, A; Daugherty, M. Truncal blocks: rectus sheath catheters. In: Analgesia in Major Abdominal Surgery, 2018: Springer.en
dc.identifier.isbn9783319944807-
dc.identifier.doi10.1007/978-3-319-94482-1_12-
dc.identifier.urihttp://hdl.handle.net/11287/620921-
dc.description.abstractSuccessful enhanced recovery after surgery relies on early mobilisation and nutrition. The former relies on effective analgesia, which also indirectly affects the latter. Effective analgesia is a primary technique which when combined with maximal multimodal analgesia, provides adequate pain relief without motor blockade, urinary retention and hypotension whilst avoiding high dose systemic opiate, and its antecedent side effects. Other attributes required for widespread application of a technique are safety, lack of cumbersome attachments, minimal contraindications and ease of deployment and training. The resurgence of the forgotten technique of rectus sheath blockade, improved by the recent ability to prolong the block by bilateral catheter insertion in the rectus sheath space, may satisfy all the requirements of effective analgesia for patients undergoing open midline abdominal surgery. These catheters can be placed prior to surgery under ultrasound guidance or directly by the surgeon. Furthermore, they may also be placed postoperatively under ultrasound guidance on the intensive care unit prior to waking patients who have been ventilated following emergency surgery.en
dc.language.isoenen
dc.publisherSpringeren
dc.relation.urlhttps://link.springer.com/chapter/10.1007/978-3-319-94482-1_12en
dc.rightsArchived with thanks to Springer.en
dc.subjectWessex Classification Subject Headings::Surgery::Anaesthesiaen
dc.titleTruncal blocks: rectus sheath cathetersen
dc.title.alternativeAnalgesia in Major Abdominal Surgeryen
dc.typeBook chapteren
dc.type.versionPublisheden
All Items in RD&E Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.