Anesthetic techniques used for open cholecystectomy are traditionally either under general anesthesia or neuraxial anesthesia, or both. Peripheral nerve blocks are usually used only for postoperative analgesia for this type of surgery. We report a case of a patient with obstructive jaundice in severe cholangitis and hypovolemic hypernatremia who underwent open cholecystectomy and T-tube drain under right-sided rectus sheath and subcostal transversus abdominis plane blocks.

Jesher Joshua Arsenio completed his medical education from the West Visayas State University College of Medicine. He passed the Philippine Medical Licensure Exam last 2021 and is currently undergoing residency training in Anesthesiology at Southern Philippines Medical Center, one of the largest hospitals in the Philippines.