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

Javeria Bakhtawar; Sheema  Siraj; . Hussaini

doi:10.54393/pjhs.v4i06.831

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

Downloads

PDF ¹²⁵

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

Download Citation

Issue

2023: Volume 04 Issue 06 (June Issue)

Section

Case Series

License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments

editor@thejas.com.pk