Ultrasound-guided rectus sheath block for an umbilical hernia repair in a patient with Wolff-Parkinson-White syndrome: A case report

  • Daniel López-Herrera-Rodríguez Anaesthesia and Critical Care Department, Hospital Universitario Virgen del Rocío, Seville, Spain
  • Rosana Guerrero-Domínguez Anaesthesia and Critical Care Department, Hospital Universitario Virgen del Rocío, Seville, Spain
  • Jesús Acosta-Martínez Anaesthesia and Critical Care Department, Hospital Universitario Virgen del Rocío, Seville, Spain
  • Francisco Sánchez-Carrillo Anaesthesia and Critical Care Department, Hospital Universitario Virgen del Rocío, Seville, Spain
Keywords: Arrhythmias cardiac, Anesthesia epidural, Hernia umbilical, Nerve block, Ultrasonography

Abstract

Perioperative management of patients with Wolff-Parkinson-White syndrome requires a special care by anaesthesiologists. Choosing the most suitable anaesthetic technique is very important. Both general anaesthesia and neuroaxial blockade may result in haemodynamic instability and arrhythmias development. Rectus sheath block is considered as a useful regional technique for umbilical surgery in patients at high-risk of cardiopulmonary complications.

References

1. Kent AFS. The structure of cardiac tissues at the auricular ventricular junction: proceedings of the Physiological Society. J Physiol (Lond). 1913;47:17-9.
2. Olgin JE, Zipes DP. Specific arrhythmias: diagnosis and treatment. In: Bonow RO, Mann DL, Zipes DP, Libby P, editors. Braunwald's heart disease: a textbook of cardiovascular medicine. 9th ed. St. Louis, Mo: WB Saunders; 2011.
3. Pablos-Herrero E, Fabra-Noguera AM, Montserrat-Izquierdo ME. Palpitations in stress situations. Semergen. 2013;39:56-8.
4. Phua DS, Phoo JW, Koay CK. The ultrasound-guided rectus sheath block as an anaesthetic in adult paraumbilical hernia repair. Anaesth Intensive Care. 2009;37:499-500.
5. Blades B, Ford WB. A method for control of postoperative pain. Surg Gynaecol Obstet. 1950;91:524-6.
6. Gerwig WH, Thompson CW, Blades B. Pain control following upper abdominal operations. Arch Surg. 1951;62:678-82.
7. Lewis DL, Thompson WAL. Reduction of post-operative pain. Br Med J. 1953;1:973-4.
8. Wolff L, Parkinson J, White PD. Bundle-branch block with short PR interval in healthy young people to paroxysmal tachycardia. Am Heart J. 1930;6:685-704.
9. Sahu S, Karna ST, Karna A, Lata I, Kapoor D. Anaesthetic management of Wolff-Parkinson-White syndrome for hysterectomy. Indian J Anaesth. 2011;55:378-80.
10. Rahul S, Patel RD, Dewoolkar. Anesthetic management of WPW syndrome; 2007. TM ISSN: 1092-406X. [accessed 2014 Mar 21] Available from: http://ispub.com/IJA/11/2/13272.
11. Hines RL, Marschall KE. Abnormalities of cardiac conduction and cardiac rhythm. In: Stoelting RK, Dierdorf SF, editors. Anesthesia and co-existing disease. 5th ed. Philadelphia: Churchill-Livingstone; 2008. p. 72-3.
12. Chhabra A, Trikha A, Sharma N. Unmasking of benign Wolff-Parkinson-White pattern under general anesthesia. Indian J Anaesth. 2003;47:208-11.
13. Kabade SD, Sheikh S, Periyadka B. Anaesthetic management of a case of Wolff-Parkinson-White syndrome. Indian J Anaesth. 2011;55:381-3.
14. Gurnaney HG, Maxwell LG, Kraemer FW, Goebel T, Nance ML, Ganesh A. Prospective randomized observer-blinded study comparing the analgesic efficacy of ultrasound-guided rectus sheath block and local anaesthetic infiltration for umbilical hernia repair. Br J Anaesth. 2011;107:790-5.
15. Parsons BA, Aning J, Daugherty MO, McGrath JS. The use of rectus sheath catheters as an analgesic technique for patients undergoing radical cystectomy. Br J Med Surg Urol. 2011;4:24-30.
16. Webster K, Hubble S. Rectus sheath analgesia in intensive care patients: technique description and case series. Anaesth Intensive Care. 2009;37:855.
How to Cite
1.
López-Herrera-Rodríguez D, Guerrero-Domínguez R, Acosta-Martínez J, Sánchez-Carrillo F. Ultrasound-guided rectus sheath block for an umbilical hernia repair in a patient with Wolff-Parkinson-White syndrome: A case report. Colomb. J. Anesthesiol. [Internet]. 2015Oct.1 [cited 2022Jul.6];43(4):343–345. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/360

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Published
2015-10-01
How to Cite
1.
López-Herrera-Rodríguez D, Guerrero-Domínguez R, Acosta-Martínez J, Sánchez-Carrillo F. Ultrasound-guided rectus sheath block for an umbilical hernia repair in a patient with Wolff-Parkinson-White syndrome: A case report. Colomb. J. Anesthesiol. [Internet]. 2015Oct.1 [cited 2022Jul.6];43(4):343–345. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/360
Section
Case Report / Case Series

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