Ischiorectal Abscess Under Bilateral Pudendal Nerve Block for Perioperative Analgesia in a Patient with Severe Ischaemic Heart Disease- A Case Report

Vol 3 | Issue 2 | July-December 2022 | Page 102-104 | Kartik Sonawane, Jagannathan Balavenkatasubramanian

DOI: 10.13107/ijra.2022.v03i02.063


Authors: Nitin Gawai [1], Sandeep Diwan [1], Abhishek Lonikar [1], Ganesh Bhong [1], Parag Sancheti [2]

[1] Department of Anesthesiology, Sancheti Hospital, Pune, Maharashtra, India.
[2] Department of Orthopaedics, Sancheti Hospital, Pune, Maharashtra, India.

Address of Correspondence
Dr. Nitin Gawai,
Department of Anesthesiology, Sancheti Hospital, Pune, Maharashtra, India
E-mail: drnitingawai@yahoo.com


Abstract

Anorectal abscess, an infection in the anal area is a potentially debilitating and painful condition requiring urgent drainage to prevent septicemia. Commonly performed under neuraxial anaesthesia, we report surgical drainage of bilateral ischiorectal abscess under bilateral pudendal nerve blocks and general anaesthesia in a patient with severe ischaemic heart disease. Through our case we add to the existing literature, the importance of administrating peripheral nerve block in highly co-morbid patients.
Keywords: Anorectal abscess, Bilateral pudendal block, Severe ischaemic heart disease.


References


1. Steele SR, Kumar R, Feingold DL, Rafferty JL, Buie WD; Standards Practice Task Force of the American Society of Colon and Rectal Surgeons. Practice parameters for the management of perianal abscess and fistula-in-ano. Dis Colon Rectum. 2011;54(12):1465-74. https://doi.org/10.1097/DCR.0b013e31823122b3 [ Links ]
2. Chahal HS, Garg K, Bose A, Kaur S. Anorectal Surgeries under Local Anaesthesia: A Single Center Experience. MGM J Med Sci 2017;4(2):75-7
3. Hedge J, Balajibabu PR, Sivaraman T. The patient with ischaemic heart disease undergoing non cardiac surgery. Indian J Anaesth. 2017;61(9):705-711. doi:10.4103/ija.IJA_384_17.
4. Narouze S, Benzon HT, Provenzano D, Buvanendran A, De Andres J, Deer T, Rauck R, Huntoon MA. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications (Second Edition): Guidelines From the American Society of Regional Anaesthesia and Pain Medicine, the European Society of Regional Anaesthesia and Pain Therapy, the American Academy of Pain Medicine, the International Neuromodulation Society, the North American Neuromodulation Society, and the World Institute of Pain. Reg Anesth Pain Med. 2018 Apr;43(3):225-262. doi: 10.1097/AAP.0000000000000700. PMID: 29278603.
5. Gruber H, Kovacs P, Piegger J, Brenner E. New, simple, ultrasound-guided infiltration of the pudendal nerve: topographic basics. Dis Colon Rectum. 2001;44:1376–1380.
6. Bellingham GA, Bhatia A, Chan CW, Peng PW. Randomized controlled trial comparing pudendal nerve block under ultrasound and fluoroscopic guidance. Reg Anesth Pain Med. 2012;37:262–266.


How to Cite this Article: Gawai N, Diwan S, Lonikar A, Bhong G, Sancheti P | Ischiorectal Abscess Under Bilateral Pudendal Nerve Block for Perioperative Analgesia in a Patient with Severe Ischaemic Heart Disease- A Case Report | International Journal of Regional Anaesthesia | July-December 2022; 3(2): 102-104.


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