KMID : 1155520200150030344
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Anesthesia and Pain Medicine 2020 Volume.15 No. 3 p.344 ~ p.348
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Transversus abdominis plane block as a sole anesthetic technique for evacuation of rectus abdominis muscle hematoma - A case report -
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Kim Young-Mu
Hyun Dong-Min Kim Hyun-Soo Kim Jin-Sun
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Abstract
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Background: Transversus abdominis plane (TAP) blocks have been used for analgesia in various abdominal surgeries. However, a TAP block as the sole anesthetic method for surgery has rarely been reported.
Case: A 33-year-old breastfeeding primipara woman was admitted to the hospital due to a rectus abdominis muscle hematoma. Because the patient refused other anesthetic methods, evacuation of the hematoma was performed under an ultrasound-guided bilateral TAP block. A 23-gauge needle was inserted in an in-plane method using a linear ultrasound probe. An injection of 10 ml of 2% lidocaine was made to the right lateral TAP and the left lateral TAP. After confirming the sensory blockade of the T10 to T12 dermatomes, surgery was performed successfully. The patient¡¯s condition stabilized during the surgery. Breastfeeding was performed on the day of surgery.
Conclusions: The evacuation of an abdominal wall hematoma in a breastfeeding patient was successfully performed under a bilateral TAP block.
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KEYWORD
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Breastfeeding, Hematoma, Ultrasound
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