Kohar Hari Santoso
Anesthesia and Intensive Care Department, Faculty of Medicine University Airlangga/ Dr. Soetomo General Hospital, Surabaya, IndonesiaPublications
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Research
Bilateral Ultrasound-Guided Transversus Abdominis Plane Block as the Sole Anesthetic for Diverting Transverse Colostomy in a Two-Day-Old Neonate with Anorectal Malformation: A Case Report
Author(s): Okky Hudaya*, Kohar Hari Santoso and Arie Utariani
Background: Atresia ani, part of the spectrum of anorectal malformations, usually requires surgery within the first days of life and a diverting transverse colostomy is the common first stage procedure to relieve the obstruction. Because newborns have very little physiological reserve, the anesthetic technique must control surgical pain without destabilizing breathing or circulation. An ultrasound guided Transversus Abdominis Plane (TAP) block anesthetizes the abdominal wall while leaving the airway untouched and spontaneous breathing preserved; for this reason, we considered it for a high risk infant. Case Presentation: A two day old full term boy weighing 2.3 kg presented with increasing abdominal distension and had not passed meconium since delivery; examination revealed atresia ani. Vital signs and preoperative laboratory results, including coagulation tests, were normal. Because .. Read More»