European Journal of Molecular & Clinical Medicine

Abstract

Femoral thromboembolectomy surgery is on the rise nowadays due to increased number of cardiac interventional procedures. In this Procedure General or spinal anaesthesia is not often favored due to anticoagulants and associated comorbid conditions. Transversus abdominis plane block (TAP Block) may provide a reasonable alternative for this procedure. We present a case series of 16 patients undergoing emergency femoral artery thrombo-embolectomy under TAP block. TAP block was performed using 30 mL of 0.25% Bupivacaine. Block efficacy was graded as complete, partial, and failed block. Complete Block was achieved in seven (44%) patients. Five patients were administered a single bolus of butorphanol intraoperatively, while four patients required two boluses of butorphanol, and this group was categorized as a partial TAP block. None of the patients required general anaesthesia. Thus TAPB can be considered an alternative anaesthesia approach for femoral thromboembolectomy