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

  • 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
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
Published
2018-09-05
How to Cite
Yadav, R., Rayamajhi, A., Dhungel, B., Poudel, S., 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
Section
Case Reports