6533b833fe1ef96bd129b72d

RESEARCH PRODUCT

Bilateral ultrasound transversus abdominis plane block in a patient affected from Menkes disease

Marco CaruselliSalvatore MeolaFrancesco DonesGiuseppe PellicoGiuseppe MincolelliDario GalanteGianluca RussoMassimo LamboFlora DonadeiAntonio Caso

subject

medicine.medical_specialtylcsh:MedicineCase ReportDiseasePediatricspaediatricsQuality of lifeTransversus Abdominis Plane BlockmedicineMedical historylocoregional anaesthesiaLocal anaestheticPatient affectedbusiness.industryultrasoundGeneral surgeryUltrasoundlcsh:Rlcsh:RJ1-570transversus abdominis plane block.lcsh:PediatricsMenkes diseasemedicine.diseaseSurgeryMenkes diseaseMenkes disease locoregional anaesthesia paediatrics ultrasound transversus abdominis plane block.business

description

This case report demonstrates the utility and safety of ultrasound transversus abdominis plane (TAP) block in a paediatric patient suffering from Menkes disease. Anaesthetists, and particularly paediatric and neonatal anaesthetists, have to make a careful assessment of these patients, who are subjected to frequent surgeries, despite their tender years. These operations are often necessary in order to improve the patient’s quality of life as much as possible. The choice of anaesthetic technique must take the particular nature of the disease and the patient’s medical history into consideration, while careful preparation and preoperative evaluations make it possible to administer the general or local anaesthetic safely. Official literature on the subject does not provide sufficient information about the use of local anaesthetic techniques. Moreover, the use of ultrasound TAP block in patients affected by Menkes disease has never been published in literature. In our experience, ultrasound TAP block has provided positive results, although the rarity of this childhood disease makes a detailed study difficult.

10.4081/pr.2012.e23http://dx.doi.org/10.4081/pr.2012.e23