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[Assessment of intraoperative hemodynamics, infusion volume, urinary output and dose of circulatory drugs in general anesthesia with transversus abdominis plane block for cholecystectomy].

Abstract
We retrospectively reviewed intraoperative hemodynamics, infusion volume, urinary output and dose of circulatory drugs in patients undergoing cholecystectomy in 3 types of anesthesia group: General anesthesia (GA group), general anesthesia with epidural anesthesia (EPI group) and general anesthesia with transversus abdominis plane (TAP) block (TAPB group). TAP block was performed using ultrasound-guided subcostal method and 20-30 ml of ropivacaine (0.2-0.3%) was injected to TAP bilaterally. Though, the blood pressure in TAPB group was lower than that in GA group, the degree of low blood pressure was smaller than that in EPI group. Less changes in intraoperative blood pressure, infusion volume and dose of phenylephrine in TAPB group compared to those in EPI group can be the advantage of TAP block alternative to epidural anesthesia.
AuthorsAtsushi Furuya, Kodai Ikemoto, Nobumasa Asano, Fumimasa Tamaki, Satomi Suzuki, Akihiko Nonaka
JournalMasui. The Japanese journal of anesthesiology (Masui) Vol. 62 Issue 9 Pg. 1106-11 (Sep 2013) ISSN: 0021-4892 [Print] Japan
PMID24063137 (Publication Type: Comparative Study, English Abstract, Journal Article)
Chemical References
  • Vasoconstrictor Agents
  • Phenylephrine
Topics
  • Aged
  • Anesthesia, Epidural
  • Anesthesia, General (methods)
  • Blood Pressure (physiology)
  • Cholecystectomy
  • Female
  • Humans
  • Intraoperative Period
  • Male
  • Nerve Block (methods)
  • Phenylephrine (administration & dosage)
  • Retrospective Studies
  • Urination (physiology)
  • Vasoconstrictor Agents (administration & dosage)

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