Bilateral Transverse Abdominis Plane Block as a Sole Anaesthetic Technique in a Patient with Peripartum Cardiomyopathy Posted for Emergency Caesarean Section

Transverse Abdominis Plane block (TAP) is a most effective technique in providing intra-op and post-operative analgesia for abdominal surgeries. However it can be considered as a sole anaesthetic technique in high risk patients. We report a case of parturient female with peri-partum cardiomyopathy having Left Ventricular ejection fraction of 25%, a high risk case posted for emergency caesarean section. The surgery was successfully conducted under ultra-sound guided bilateral TAP block which was used as a sole anaesthetic technique to decrease the peri-operative morbidity and maternal mortality.