Abstract
This article reported the application of wrist-ankle acupuncture with the ultrasound-guided interfascial plane block (Transversus abdominis plane block,TAPB; Rectus sheath block, RSB; Rhomboid intercostal and sub–serratus block, RISSB) in two emergency laparotomy in elderly frail patients. These cases were successfully completed with only a small dosage of narcotic analgesics, and the patient's spontaneous breathing was preserved and the vital signs of the patients were stable with the Visual Analogue Scale (VAS) of 2 points and the oxygen saturation level over 95%. Both patients recovered soon after the surgery. The combination of wrist-ankle acupuncture and interfascial plane block to preserve spontaneous breathing during laparotomy in elderly frail patients in China had not been previously reported.
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