Anatomical basis for simultaneous block of greater and third occipital nerves, with an ultrasound-guided technique

2017 ◽  
Vol 32 (4) ◽  
pp. 483-492 ◽  
Author(s):  
Ken Kariya ◽  
Yosuke Usui ◽  
Naoko Higashi ◽  
Tatsuo Nakamoto ◽  
Hironobu Shimbori ◽  
...  
Author(s):  
Romain Lecigne ◽  
Pierre-Xavier Dubreil ◽  
Eric Berton ◽  
Mickaël Ropars ◽  
Danoob Dalili ◽  
...  

2010 ◽  
Vol 110 (3) ◽  
pp. 964-968 ◽  
Author(s):  
Yosuke Usui ◽  
Toshiya Kobayashi ◽  
Hiroyuki Kakinuma ◽  
Keisuke Watanabe ◽  
Toshimitsu Kitajima ◽  
...  

2021 ◽  
Vol 46 (7) ◽  
pp. 581-599
Author(s):  
Ki Jinn Chin ◽  
Barbara Versyck ◽  
Hesham Elsharkawy ◽  
Maria Fernanda Rojas Gomez ◽  
Xavier Sala-Blanch ◽  
...  

Fascial plane blocks (FPBs) are regional anesthesia techniques in which the space (“plane”) between two discrete fascial layers is the target of needle insertion and injection. Analgesia is primarily achieved by local anesthetic spread to nerves traveling within this plane and adjacent tissues. This narrative review discusses key fundamental anatomical concepts relevant to FPBs, with a focus on blocks of the torso. Fascia, in this context, refers to any sheet of connective tissue that encloses or separates muscles and internal organs. The basic composition of fascia is a latticework of collagen fibers filled with a hydrated glycosaminoglycan matrix and infiltrated by adipocytes and fibroblasts; fluid can cross this by diffusion but not bulk flow. The plane between fascial layers is filled with a similar fat-glycosaminoglycan matric and provides gliding and cushioning between structures, as well as a pathway for nerves and vessels. The planes between the various muscle layers of the thorax, abdomen, and paraspinal area close to the thoracic paravertebral space and vertebral canal, are popular targets for ultrasound-guided local anesthetic injection. The pertinent musculofascial anatomy of these regions, together with the nerves involved in somatic and visceral innervation, are summarized. This knowledge will aid not only sonographic identification of landmarks and block performance, but also understanding of the potential pathways and barriers for spread of local anesthetic. It is also critical as the basis for further exploration and refinement of FPBs, with an emphasis on improving their clinical utility, efficacy, and safety.


2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Shiv Kumar Singh ◽  
S. M. Gulyam Kuruba

Presently ultrasound guided nerve blocks are very fashionable but vast majority of people around the world cannot practice these techniques mostly due to lack of resources but even in the developed countries there is lack of training which precludes people from using it. Lack of resources does not mean that patient cannot be provided with appropriate pain relief using nerve blocks. There are some nerve blocks that can be done using the loss of resistance (LOR) techniques. These blocks like, tranversus abdominis plane (TAP), rectus sheath, ilio-inguinal and fascia iliaca blocks can be effectively utilized to provide pain relief in the peri-operative period. For these blocks to be effectively delivered it is essential to understand the anatomical basis. It is also important to understand the reasons for failure, which is mostly due to delivery of the local anaesthetic in the wrong plane. The technique for LOR is not only simple and effective but also it can be delivered with minimal resources. This article deals with the techniques used for LOR blocks, the relevant anatomy and the methods used to administer the blocks. The article also describes the various indications where these blocks can be utilized, especially in the post-operative period where the pain management is sub-optimal.


2009 ◽  
Vol 32 (3) ◽  
pp. 299-304 ◽  
Author(s):  
Francis Berthier ◽  
Daniel Lepage ◽  
Yann Henry ◽  
Fabrice Vuillier ◽  
Jean-Luc Christophe ◽  
...  

2001 ◽  
Vol 120 (5) ◽  
pp. A559-A559
Author(s):  
J HAENSLER ◽  
A RAIBLE ◽  
W HOLTKAMP ◽  
M FRAUENDORF ◽  
A WITTE ◽  
...  

2001 ◽  
Vol 120 (5) ◽  
pp. A475-A475
Author(s):  
M SAILER ◽  
D BUSSEN ◽  
M KRAEMER ◽  
M FEIN ◽  
S FREYS ◽  
...  

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