457 posters, 2 videos, 2 audios, 8 topics, 45 sessions, 401 authors, 265 institutions
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49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting
March 21-23, 2024 | The Hilton Bayfront San Diego | San Diego, California
5338
EXTERNAL OBLIQUE INTERCOSTAL CATHETERS FOR LIVER TRANSPLANTATION SURGERY: CASE SERIES OF A NOVEL TECHNIQUE IN A COMPLEX POPULATION
Poster Presenter
Authors
Affiliations
Part of Topic
Scientific Abstracts > Regional Anesthesia
External oblique intercostal catheters for liver transplantation surgery: case series of a novel technique in a complex population
Dr Louisa Ann Corr, Anesthesiology Fellow, Vancouver General Hospital
Dr Kevin Froehlich, Attending Anesthesiologist, Vancouver General Hospital
Introduction
•Proposed superior block for surgical incisions extending laterally in abdominal wall by blocking both the anterior and lateralcutaneous intercostal nerves.
•Evaluated utility of technique, including any potential complications.
Methods
•Exempt from review by the Research Ethics Board per University of British Columbia policy. No identifiable patient information hence individual consent not obtained.
•Retrospective analysis of liver transplant recipients at VGH who had EOI catheter placed for postoperative analgesia from February - August 2023.
•For comparison, patients who underwent liver transplantation between November 2022 - February 2023, who had no regional technique (NRT) and extubated within first 48 postoperative hours.
•Bilateral catheter placement immediately following surgical procedure, 6th or 7th rib, between mid - anterior axillary line.
Results
•More patients in EOI group extubated in the operating room.
•No complications reported with placement or removal, and no noted symptoms suggestive of local anesthetic toxicity.
•Of patients extubated in the ICU, the EOI group had a shorter mean time to extubation, compared to NRT group.
•Higher mean opioid consumption in the NRT both parenterally and orally in the first 24 postoperative hours compared to EOI group.
Discussion
•Addition of EOI catheters may influence healthcare providers to consider earlier extubation.
•The opioid use data suggests that the EOI group may transition onto oral analgesia earlier than the NRT group.
•Placement of EOI catheters may contribute positively to multimodal analgesia following liver transplantation.