Ilioinguinal and Iliohypogastric Nerve Blockade as an Adjunct for Inguinal Hernioplasty in a Patient with Aortic Valve Replacement: Case Report
Abstract
Choosing appropriate anesthetic modality in patients with compromised cardiac function with the administration of peripheral nerve block ensures hemodynamic stability. We present the case of a 63y, male patient with an operative history of aortic valvuloplasty, on anticoagulant warfarin. Patient was given general anesthesia and supraglottic airway device, LMA was inserted to prevent intubation response. This was supplemented with USG guided ilioinguinal and iliohypogastric nerve blocks with inj ropivacaine 0.325%, 15ml and inj dexamethasone 2mg as adjuvant. Addition of peripheral nerve blockade to general anesthesia provided perioperative analgesia, so quick emergence and recovery was possible.
[1] Brown J, Morgan-Hughes NJ. Aortic stenosis and non-cardiac surgery. Continuing Education in Anaesthesia Critical Care & Pain. 2005; 5(1): 1-4.
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[3] Kamal K, Jain P, Bansal T, Ahlawat G. A comparative study to evaluate ultrasound-guided transversus abdominis plane block versus ilioinguinal iliohypogastric nerve block for post-operative analgesia in adult patients undergoing inguinal hernia repair. Indian J Anaesth. 2018; 62(4):292-297.
[4] Bang YS, Park C, Lee SY, Kim M, Lee J, Lee T. Comparison between monitored anesthesia care with remifentanil under ilioinguinal hypogastric nerve block and spinal anesthesia for herniorrhaphy. Korean J Anesthesiol. 2013; 64(5):414-9.
[5] Deshpande JP, Ghodki PS, Sardesai SP. The Analgesic Efficacy of Dexamethasone Added to Ropivacaine in Transversus Abdominis Plane Block for Transabdominal Hysterectomy under Subarachnoid Block. Anesth Essays Res. 2017; 11(2):499-502.
[2] Kuthiala G, Chaudhary G. Ropivacaine: A review of its pharmacology and clinical use. Indian J Anaesth. 2011; 55(2):104-10.
[3] Kamal K, Jain P, Bansal T, Ahlawat G. A comparative study to evaluate ultrasound-guided transversus abdominis plane block versus ilioinguinal iliohypogastric nerve block for post-operative analgesia in adult patients undergoing inguinal hernia repair. Indian J Anaesth. 2018; 62(4):292-297.
[4] Bang YS, Park C, Lee SY, Kim M, Lee J, Lee T. Comparison between monitored anesthesia care with remifentanil under ilioinguinal hypogastric nerve block and spinal anesthesia for herniorrhaphy. Korean J Anesthesiol. 2013; 64(5):414-9.
[5] Deshpande JP, Ghodki PS, Sardesai SP. The Analgesic Efficacy of Dexamethasone Added to Ropivacaine in Transversus Abdominis Plane Block for Transabdominal Hysterectomy under Subarachnoid Block. Anesth Essays Res. 2017; 11(2):499-502.
| Files | ||
| Issue | Vol 8 No 2 (2022): Spring |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v8i2.9175 | |
| Keywords | ||
| Aortic stenosis Inguinal hernioplasty Ilioinguinal-Iiiohypogastric nerve block Laryngeal mask airway (LMA) | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Deshpande J, Jacob M. Ilioinguinal and Iliohypogastric Nerve Blockade as an Adjunct for Inguinal Hernioplasty in a Patient with Aortic Valve Replacement: Case Report. Arch Anesth & Crit Care. 2022;8(2):159-161.
