Ultrasound Guided Thoracic Paravertebral and Coeliac Plexus Block for Open Cholecystectomy in a Patient with Multiple Co-Morbidities : A Case Report

Authors

  • Rupesh Kumar Yadav Civil Service Hospital
  • Anuj Jung Rayamajhi Civil Service Hospital
  • Bidur Kumar Dhungel Civil Service Hospital
  • Subash Chandra Poudel Civil Service Hospital
  • Prashanta Poudel Civil Service Hospital
  • Kapil Pokhrel Civil Service Hospital
  • Anang Pangeni Civil Service Hospital
  • Bikram Byanjankar Civil Service Hospital

DOI:

https://doi.org/10.3126/bjhs.v3i2.20973

Keywords:

Coeliac plexus block, open cholecystectomy, paravertebral block, rectus sheath block, ultrasound

Abstract

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.

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Author Biographies

Rupesh Kumar Yadav, Civil Service Hospital

Assistant Professor, Department of Anesthesia and Critical Care

Anuj Jung Rayamajhi, Civil Service Hospital

Assosciate Professor, Department of Anesthesia and Critical Care

Bidur Kumar Dhungel, Civil Service Hospital

Consultant, Department of Anesthesia and Critical Care

Subash Chandra Poudel, Civil Service Hospital

Consultant, Department of Anesthesia and Critical Care

Prashanta Poudel, Civil Service Hospital

Consultant, Department of Anesthesia and Critical Care

Kapil Pokhrel, Civil Service Hospital

Consultant, Department of Anesthesia and Critical Care

Anang Pangeni, Civil Service Hospital

Assistant professor, Department of General Surgery

Bikram Byanjankar, Civil Service Hospital

Consultant, Department of General Surgery

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Published

2018-09-05

How to Cite

Yadav, R. K., Rayamajhi, A. J., Dhungel, B. K., Poudel, S. C., Poudel, P., Pokhrel, K., Pangeni, A., & Byanjankar, B. (2018). Ultrasound Guided Thoracic Paravertebral and Coeliac Plexus Block for Open Cholecystectomy in a Patient with Multiple Co-Morbidities : A Case Report. Birat Journal of Health Sciences, 3(2), 508–510. https://doi.org/10.3126/bjhs.v3i2.20973

Issue

Vol. 3 No. 2 (2018)

Section

Case Reports

License

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