Use of Ultrasound Guided Subcostal TAP Block Along with Bilateral Rectus Sheath Block – A Novel Way to Aid on Table Extubation of Pediatric Liver Recipients

Chatterjee C, Vijay Shankar, Purnima Dhar and Anupam Raj

Department of Anesthesiology and Intensive Care, Apollo Hospital, Indraprastha, India

^*Correspondance to: Vijay Shankar 

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Abstract:

Unlike in the case of adults, the usual practice was to electively ventilate pediatric liver recipients due to the high incidence of postoperative complications. Inspired by the success of early Extubation and fast-tracking in adult recipients many pediatric transplant centers have started practicing early Extubation in children. The use of high dose of sedatives and opioids in the post-operative period significantly delays and complicates early extubation. We performed Subcostal TAP block and bilateral rectus sheath blocks at the end of surgery on 16 pediatric liver recipients below 2 years of age and successfully extubated them on table. In our short experience performing blocks under ultrasound guidance was safe and significantly alleviated need of opioids during the post-operative period.

Keywords:

Transversus abdominis plane block; Pediatric liver transplantation; Early Extubation

Cite the Article:

Chatterjee C, Shankar V, Dhar P, Raj A. Use of Ultrasound Guided Subcostal TAP Block Along with Bilateral Rectus Sheath Block – A Novel Way to Aid on Table Extubation of Pediatric Liver Recipients. Ann Clin Case Rep. 2020; 5: 1857.