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Los autores presentan un caso clínico en que se realizó un bloqueo del plano del músculo transverso abdominal, con la colocación de catéter bilateral para la analgesia postoperatoria de laparotomía exploratoria, en un enfermo con cirugía abdominal previa, insuficiencia cardíaca renal y hepática, como una opción a la analgesia epidural y a los opioides endovenosos en perfusión.
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