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IJHSR. 2014; 4(5): 289-293

Exploratory Laparotomy done under IM+IV Sedation & Upper Abdominal Field Block in a Rare Case of Severe Mitral Stenosis with RVHD, Pulmonary Hypertension and Pulmonary Oedema with Atrial Fibrillation Having DU Perforation.

Shashi Jadhav Patil, Yashwant S. Patil.

A 75 year old female was referred from peripheral hospital as case of DU perforation. X-ray erect abdomen showed gas under diaphragm.2D-ECHO showed severe mitral stenosis, atrial fibrillation with EF55%. Chest radiograph showed bilateral lower zone congestion. Patient was not fit for any type of anaesthesia and deteriorating. Patient was operated under field block anaesthesia and the closure of DU was done. Abdominal field block anaesthesia was given with prior intravenous/intramuscular sedation. This was the first case to be operated under field block anaesthesia in our institute.

Key words: Laparotomy, Transverse abdominis plane, Field Block Anaesthesia, DU perforation

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