Ultrasound-Guided Rectus Sheath Block as the Single Anaesthetic Technique for Umbilical Hernia Repair: A Report of 3 Cases
PDF
Cite
Share
Request
Case Report
P: 151-154
April 2022

Ultrasound-Guided Rectus Sheath Block as the Single Anaesthetic Technique for Umbilical Hernia Repair: A Report of 3 Cases

Turk J Anaesthesiol Reanim 2022;50(2):151-154
1. Department of Anaesthesiology, İstanbul Haseki Education and Research Hospital, İstanbul, Turkey
2. Department of Anaesthesiology, İstanbul Sancaktepe Education and Research Hospital, İstanbul, Turkey
No information available.
No information available
Received Date: 14.09.2020
Accepted Date: 14.01.2021
PDF
Cite
Share
Request

ABSTRACT

In this study, we report 3 cases of ultrasound-guided rectus sheath block used for anaesthetic management of simple periumbilical surgery. We selected 3 patients based on the American Society of Anaesthesiology I-II and defect sizes known to be smaller than 4 cm without peritoneal involvement. We applied a rectus sheath block with 10 mL of 0.5% bupivacaine and 5 mL of 2% lidocaine bilaterally deposited in the space between rectus abdominis and posterior rectus sheath under real-time ultrasonography. Two of our patients tolerated surgery well with minimal sedoanalgesia; however, one of our patients needed dissociative anaesthesia to be compatible because the surgeon found out that the defect was bigger and adjacent to the peritoneum. Rectus sheath block is an underused technique that has the potential to be used as a sole anaesthetic technique in selected cases. So it would be wise to improve and consider rectus sheath block as a valuable tool when there is no better.