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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 9, Issue 1, November 2013 pp 121-125

Research Article

Caesarean Section under Lower Intercostal and Pararectal block Technique in a Case of Acute Renal Failure


Pramod V. Bhale*, Shubhangi Arun Mande**, Saurabh More***, Shradha Ruhatiya***, Shilpa Loya****

{*Professor, ***Resident, ****Registrar, Department of Anaesthesia}{**Associate Professor, Department of Obstetrics and Gynaecology} MGM’s Medical College, Aurangabad, Maharashtra, INDIA.


Academic Editor : Dr. Aher K.R.



Caesarean section has been known to humans for years now. Over years, with advancements in anaesthesia, it has become a convenient procedure. Maternal mortality from caesarean section is higher when compared to normal delivery (1 in 10000) Caesarean section is performed for various maternal and fetal indications. The anaesthesia used is either regional (spinal or epidural) or general anaesthesia. But conditions do arise where risks of anaesthesia outweighs the advantages. Acute renal failure is a rare challenging medical complication during pregnancy. Despite decreasing incidence mortality and morbidity of acute renal failure associated with pregnancy remains high. Management requires knowledge of the renal physiologic changes occurring in pregnancy and the relevant diagnoses, both pregnancy-specific and those that may coincidentally occur with pregnancy. Ideal medical care of these patients need a multidisciplinary approach considering maternal and fetal complications and timely specialist involvement. In certain situations with compromised maternal systemic conditions, local anaesthesia with bilateral intercostal and pararectal block with supplementation of I.V. sedation helps for excellent intra-operative anaesthesia and post operative recovery. One such case has been described below.