scholarly journals Analgesic Benefits of Ultrasound-Guided Thoraco-Abdominal Wall Peripheral Nerve Blocks

2016 ◽  
Vol 10 (1) ◽  
pp. 40-51
Author(s):  
Jaime Ortiz ◽  
Lisa Mouzi Wofford
Keyword(s):  
Peripheral Nerve ◽  
Abdominal Wall ◽  
Rectus Sheath ◽  
Hospital Length ◽  
Transversus Abdominis ◽  
Hospital Length Of Stay ◽  
Ultrasound Guided ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Perioperative Analgesia

Background and Objectives: Peripheral nerve blocks have been associated with decreased opiate consumption along with decreased associated side effects, improved pain scores, improved patient satisfaction scores, and decreased hospital length of stay. The aim of this review is to describe the use of ultrasound-guided thoraco-abdominal wall peripheral nerve blocks for perioperative analgesia. Content: This review article discusses the indications, anatomy, techniques, risks, and available clinical evidence of ultrasound-guided transversus abdominis plane (TAP), paravertebral, PECS, rectus sheath, and ilioinguinal/ iliohypogastric truncal blocks to update practitioners on the utility of these interventions in perioperative pain management. Conclusion: The increased use of ultrasound guidance in the performance of regional anesthesia has increased the tools available to physicians to provide analgesia in patients with thoraco-abdominal pain after surgery and trauma.

Acute pain management in trauma: anatomy, ultrasound-guided peripheral nerve blocks and special considerations

2019 ◽  
Vol 85 (7) ◽  
Author(s):  
Theodosios Saranteas ◽  
Iosifina Koliantzaki ◽  
Olga Savvidou ◽  
Marina Tsoumpa ◽  
Georgia Eustathiou ◽  
...  
Keyword(s):  
Pain Management ◽  
Peripheral Nerve ◽  
Acute Pain ◽  
Ultrasound Guided ◽  
Acute Pain Management ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks

Ultrasound-guided peripheral nerve blocks are useful for resections of malignant skin tumours on the leg

2017 ◽  
Vol 27 (1) ◽  
pp. 70-72
Author(s):  
Kenji Yokota ◽  
Takaaki Matsumoto ◽  
Yoshie Murakami ◽  
Kaori Ando ◽  
Masashi Akiyama
Keyword(s):  
Peripheral Nerve ◽  
Ultrasound Guided ◽  
Nerve Blocks ◽  
Skin Tumours ◽  
Peripheral Nerve Blocks ◽  
Malignant Skin

Transversus Abdominis Plane and Rectus Sheath Blocks

2021 ◽  
pp. 81-88
Author(s):  
Natalea Johnson ◽  
Jorge A. Pineda
Keyword(s):  
Abdominal Wall ◽  
Umbilical Hernia ◽  
Visceral Pain ◽  
Rectus Sheath ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane ◽  
Nerve Blocks ◽  
Rectus Sheath Block ◽  
Intercostal Nerves

Chapter 9 discusses truncal peripheral nerve blocks, which are utilized for supplemental analgesia for abdominal surgeries by providing local anesthesia to the anterior abdominal wall. These blocks are adjuvants because they will not block visceral pain. Unilateral analgesia to the skin, muscles, and parietal peritoneum of the abdominal wall is achieved. The transversus abdominis plane block (TAP) reliably provides analgesia to the lower abdominal wall in the T10–L1 distribution. Rectus sheath blocks anesthetize the terminal branches of the lower thoracic intercostal nerves and provide midline analgesia from the xiphoid process to the umbilicus. Surgical indications for TAP blocks include laparotomies, laparoscopies, inguinal hernia repairs, and appendectomies. Rectus sheath block indications include midline surgeries such as single-port appendectomies and umbilical hernia repairs.

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