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Application of ultrasound-guided transabdominal fascia block in peritoneal dialysis catheterization for patients with end-stage renal disease

Background: The aim of this study was to investigate the clinical anesthesia, intraoperative circulatory fluctuation and postoperative incisional pain of patients with end stage renal disease treated with peritoneal dialysis catheterization applied of ultrasound- guided transabdominal fascia block.

Methods: 40 patients diagnosed with end-stage renal disease who selected peritoneal dialysis catheterization were randomly divided into General Anesthesia (GA) group and Transversus Abdominis Plane Block (TAPB) group with different interventions.

Results: The mean arterial blood pressure and heart rate in GA group were significantly lower than those in TAPB group, the lowest after 10 min of induction (P<0.01), the VAS score at 24 h postoperatively in the TAPB group was significantly lower than that in the GA group (t=-3.637, P=0.001).

Conclusion: In conclusion, ultrasound-guided transabdominal fascia block is convenient for peritoneal dialysis catheterization, with good anesthesia effect, and does small disturbance to the respiratory cycle of patients.

Author(s): Wei Cheng Liu, Dong Jun Yu, Lei Li, Shibiao Chen