ABSTRACTS: Inguinal field block for hernioplasty in a case of restrictive cardiomyopathy without the use of invasive monitoring

METHODS : 31 yr old Patient was shifted to OT with 18G canula in left hand, ECG(echocardiogram), NIBP(non invasive blood pressure), and pulse oximetry monitoring were started . Hernia field block was performed by palpating anterior superior iliac spine and raising a skin wheal 3 cm medial to this point. Needle was inserted perpendicularly to the skin through the wheal upto bone 5ml was injected. Then needle was redirected along the line of incision downward and medially 15ml of anaesthetic solution was injected. Later pubic tubercle and raise a skin wheal 2 cm lateral to this point. Insert the needle perpendicularly to the skin until bone is hit, and inject 5 ml of anaesthetic solution. Then, redirect the needle laterally and superiorly along the line of the incision for 2 inches and inject 15ml of anaesthetic solution. Total dose of 40ml of 0.25% bupivacaine was used. The patient was pain free and comfortable during the procedure. Intraoperatively small bowel obstruction was seen but they were viable. The monitored parameters were stable throughout the procedure. 1.5L of Ringer lactate was infused. Following the procedure the patient was shifted to the intensive care area for monitoring. Postoperative stay was uneventful.

RESULTS : We managed the case under regional block without any complication

CONCLUSIONS : inguinal hernia repair can be safely and effectively managed with inguinal field block in patients with restrictive cardiomyopathy without invasive monitoring