Open AccessUltrasound Guided Thoracic Paravertebral and Coeliac Plexus Block for Open Cholecystectomy in a Patient with Multiple Co-Morbidities : A Case Report
Author(s) -
Rupesh Kumar Yadav,
Anuj Jung Rayamajhi,
Bidur Kumar Dhungel,
Subash Chandra Poudel,
Prashanta Poudel,
Kapil Pokhrel,
Anang Pangeni,
Bikram Byanjankar
Publication year - 2018
Publication title -
birat journal of health sciences
Language(s) - English
Resource type - Journals
eISSN - 2542-2804
pISSN - 2542-2758
DOI - 10.3126/bjhs.v3i2.20973
Subject(s) - medicine , rectus sheath , surgery , ultrasound , plexus , anesthesia , open cholecystectomy , nerve block , cholecystectomy , radiology , abdominal wall
Ultrasound guided nerve blocks are gaining popularity these days due to its higher accuracy and reduced incidence of complications. Ultrasound guided unilateral paravertebral block in combination with unilateral coeliac plexus block and unilateral Rectus sheath block in patients with multiple co-morbidities provides adequate anesthesia for surgery and it also reduces incidences of mortality, morbidity and hospital stay in comparison to General anesthesia and spinal / epidural anesthesia. Paravertebral block , Coeliac plexus block and Rectus sheath blocks can be performed with higher success rate with the use of ultrasound. BJHS 2018;3(2)6:508-510.