Anesthetic Management and Role of TAP (Transversus abdominis plane) block and GBS (Gullain barre syndrome) Block in a Pregnant Patient with GBS and Psychiatric Illness, A Case Report

GBS and Psychiatric Illness

Authors

  • Javeria Bakhtawar Department of Anesthesiology, Patel Hospital, Karachi, Pakistan
  • Sheema Siraj Department of Anesthesiology, Patel Hospital, Karachi, Pakistan
  • . Hussaini Department of Anesthesiology, Patel Hospital, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i06.831

Keywords:

Pregnancy, Anesthesia, Guillain-Barre Syndrome

Abstract

We report a case of 26 years parturient, with GBS manifested by psychiatric illness scheduled for hysterotomy. Our case is unique in a way that we managed her post-operative pain with TAP (transversus abdominis plane) block using ropivacaine, a long-acting amide local anesthetic with a potentially improved safety profile when compared to bupivacaine, as the literature showing the significance of TAP block in such patients in scanty. GBS with psychiatric illness made her anesthetic management, a challenge for us.

References

Zafar MS, Naqash MM, Bhat TA, Malik GM. Guillain-barré syndrome in pregnancy: An unusual case. Journal of Family Medicine and Primary Care. 2013 Jan; 2(1): 90. doi: 10.4103/2249-4863.109965. DOI: https://doi.org/10.4103/2249-4863.109965

Nguyen TP and Taylor RS. Guillain Barre Syndrome. InStatPearls. StatPearls Publishing. 2022 Jul.

Hillyar C, Nibber A, Hillyar CR. Psychiatric sequelae of guillain-barre syndrome: towards a multidisciplinary team approach. Cureus. 2020 Feb; 12(2): 1-7. doi: 10.7759/cureus.7051. DOI: https://doi.org/10.7759/cureus.7051

Miller EC, Szeto M, Boet S. Unilateral transversus abdominis plane block catheter for the treatment of abdominal wall pain in pregnancy: a case report. Regional Anesthesia & Pain Medicine. 2015 Nov; 40(6): 720-2. doi: 10.1097/AAP.0000000000000296. DOI: https://doi.org/10.1097/AAP.0000000000000296

Kaur A, Singh RB, Tripathi RK, Choubey S. Comparision between bupivacaine and ropivacaine in patients undergoing forearm surgeries under axillary brachial plexus block: a prospective randomized study. Journal of Clinical and Diagnostic Research: JCDR. 2015 Jan; 9(1): UC01. doi: 10.7860/JCDR/2015/10556.5446. DOI: https://doi.org/10.7860/JCDR/2015/10556.5446

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Published

2023-06-30
CITATION
DOI: 10.54393/pjhs.v4i06.831
Published: 2023-06-30

How to Cite

Bakhtawar, J., Siraj, S. ., & Hussaini, . (2023). Anesthetic Management and Role of TAP (Transversus abdominis plane) block and GBS (Gullain barre syndrome) Block in a Pregnant Patient with GBS and Psychiatric Illness, A Case Report: GBS and Psychiatric Illness. Pakistan Journal of Health Sciences, 4(06). https://doi.org/10.54393/pjhs.v4i06.831

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