2025, Vol. 8, Issue 3, Part A
Bilateral rectus sheath block for feeding jejunostomy in a patient with progressive supranuclear palsy and cardiac dysfunction
Author(s): R Surya Theja, Anurag Gupta, Rajesh Kain, Malvinder Singh, Vinay Bhardwaj and Jenna Malhotra
Abstract: Progressive supranuclear palsy (PSP) is a rare neurodegenerative disorder that presents multiple anaesthetic challenges due to motor and autonomic dysfunction. General anaesthesia is complicated by spastic dysphagia and cervical dystonia, increasing the risk of aspiration and airway difficulties. Neuraxial techniques are also risky, especially in patients with reduced ejection fraction and regional wall motion abnormalities, due to potential hemodynamic instability. We performed a feeding jejunostomy under bilateral rectus sheath block in a 76-year-old male with advanced PSP and cardiac dysfunction. This approach avoided the risks associated with general and neuraxial anaesthesia, demonstrating the utility of truncal blocks in high-risk patients.
DOI: 10.33545/26643766.2025.v8.i3a.587
Pages: 22-24 | Views: 477 | Downloads: 198
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How to cite this article:
R Surya Theja, Anurag Gupta, Rajesh Kain, Malvinder Singh, Vinay Bhardwaj, Jenna Malhotra. Bilateral rectus sheath block for feeding jejunostomy in a patient with progressive supranuclear palsy and cardiac dysfunction. Int J Med Anesthesiology 2025;8(3):22-24. DOI: 10.33545/26643766.2025.v8.i3a.587
