Skip to main content
SpringerLink
Log in

Regional Anesthesia of Thorax and Abdomen

  • Chapter
  • First Online:
Book cover Essentials of Regional Anesthesia

  • 2753 Accesses

Abstract

In this chapter, we will describe traditional and ultrasound paravertebral nerve block techniques, traditional intrapleural block by loss-of-resistance technique, ultrasound-guided transversus abdominis plane and rectus sheath block, and ultrasound-assisted ilioinguinal and iliohypogastric nerve blockade for postoperative pain control of thorax and abdomen. If a practitioner has mastered the paravertebral nerve block in lateral and paramedian approach, the intercostal nerve block is the redundant technique and may not be specifically useful. Therefore, we will not discuss it in this chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Richardson J, Lonnqvist PA. Thoracic paravertebral block. A review. Br J Anaesth. 1998;81:230–8.

    PubMed  CAS  Google Scholar 

  2. Karmakar MK. Thoracic paravertebral block. Anesthesiology. 2001;95:771–80.

    Article  PubMed  CAS  Google Scholar 

  3. Lohnqvist PA, Hesser U. Radiological and clinical distribution of thoracic paravertebral blockade in infants and children. Paediatr Anesth. 1993;3:83–7.

    Article  Google Scholar 

  4. Cheema SPS, Isley D, Richardson J, Sabanathan S. A thermographic study of paravertebral of paravertebral analgesia. Anaesthesia. 1995;50:813–5.

    Article  Google Scholar 

  5. Saito T, Den S, Cheema SP, Tanuma K, Carney E, Carlsson C, et al. A single-injection, multi-segmental paravertebral block-extension of somatosensory and sympathetic block in volunteers. Acta Anaesthesiol Scand. 2001;45(1):30–3.

    Article  PubMed  CAS  Google Scholar 

  6. Naja MZ, Ziade MF, Rajab M, El Tayara K, El Lohnquist PA. Varying anatomical injection points within the thoracic paravertebral space: effect on spread of solution and nerve blockade. Anaesthesia. 2004;59:459–63.

    Article  PubMed  CAS  Google Scholar 

  7. Karmakar MK, Gin T, Ho AM. Ipsilateral thoraco-lumbar anaesthesia and paravertebral spread after low thoracic paravertebral injection. Br J Anaesth. 2001;87(2):312–6.

    Article  PubMed  CAS  Google Scholar 

  8. Chelly JE, Uskova A, Merman R, Szczodry D. A multifactorial approach to the factors influencing determination of paravertebral depth. Can J Anesth. 2008;55(9):587–94.

    Article  PubMed  Google Scholar 

  9. Chelly JE. Peripheral nerve blocks: a color atlas. Philadelphia, PA: Lippincott; 2009.

    Google Scholar 

  10. Burns DA, Ben-David B, Chelly JE, Greensmith EJ. Intercostally placed paravertebral catheterization: an alternative approach to continuous paravertebral blockade. IARS. 2008;107(1):339–41.

    Google Scholar 

  11. Bigeleisen P. Ultrasound-guided regional anesthesia and pain medicine. London: Lippincott; 2010.

    Google Scholar 

  12. Ben-Ari A, Moreno M, Chelly JE, Bigeleisen PE. Ultrasound-guided paravertebral block using an intercostal approach. Anesth Analg. 2009;109(5):1691–4.

    Article  PubMed  Google Scholar 

  13. Ben-David B, Lee E. The falling column: a new technique for interpleural catheter placement. Anesth Analg. 1990;71:212.

    Article  PubMed  CAS  Google Scholar 

  14. Myers DP, Lema MJ, de Leon-Casasola OA, et al. Interpleural analgesia for the treatment of severe cancer pain in terminally ill patients. J Pain Symptom Manage. 1993;8:505–10.

    Article  PubMed  CAS  Google Scholar 

  15. Reistad F, Stromskag KE. Interpleural catheter in the management of postoperative pain: a preliminary report. Reg Anesth. 1986;11:89–91.

    Google Scholar 

  16. Stromskag KE, Minor B, Steen PA. Side effects and complications related to interpleural analgesia: an update. Acta Anaesthesiol Scand. 1990;34:473–7.

    Article  PubMed  CAS  Google Scholar 

  17. Hebbard P, Fujiwara Y, Shibata Y, et al. Ultrasound-guided transversus abdominis plane (TAP) block. Anaesth Intensive Care. 2007;35(4):616–7.

    PubMed  CAS  Google Scholar 

  18. O’Donnell BD, McDonnell JG, McShane AJ. The transversus abdominis plane (TAP) block in open retropubic prostatectomy. Reg Anesth Pain Med. 2006;31(1):91.

    PubMed  Google Scholar 

  19. McDonell JG, O’Donnell B, Curley G, et al. The analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial. Anesth Analg. 2007;104(1):193–7.

    Article  Google Scholar 

  20. McDonell JG, Curley G, Carney J, et al. The analgesic efficacy of transversus abdominis plane block after cesarean delivery: a randomized controlled trial. Anesth Analg. 2008;106(1):186–91.

    Article  Google Scholar 

  21. Ferguson S, Thomas V, Lewis I. The rectus sheath block in paediatric anaesthesia: new indications for an old technique. Paediatr Anaesth. 1996;6:463–6.

    Article  PubMed  CAS  Google Scholar 

  22. Courreges P, Podevin F, Lecoutre D. Para-umbilical block: a new concept for regional anaesthesia in children. Paediatr Anaesth. 1997;7:211–4.

    Article  PubMed  CAS  Google Scholar 

  23. Hannallah RS, Broadman LM, Belman AB, et al. Comparison of caudal and ilioinguinal/iliohypogastric nerve blocks for control of post-orchiopexy pain in pediatric ambulatory surgery. Anesthesiology. 1987;66:832–4.

    Article  PubMed  CAS  Google Scholar 

  24. Casey WF, Rice LJ, Hannallah RS, et al. A comparison between bupivacaine instillation versus ilioinguinal/iliohypogastric nerve block for postoperative analgesia following inguinal herniorrhaphy in children. Anesthesiology. 1990;72:637–9.

    Article  PubMed  CAS  Google Scholar 

  25. Fisher QA, McComiskey CM, Hill JL, et al. Postoperative voiding interval and duration of analgesia following peripheral or caudal nerve blocks in children. Anesth Analg. 1993;76:173–7.

    PubMed  CAS  Google Scholar 

  26. Weintraub M, Marhofer P, Boenberg A, et al. Ilioinguinal/iliohypogastric blocks in children: where do we administer the local anesthetic without direct visualization? Anesth Analg. 2008;106:89–93.

    Article  Google Scholar 

  27. Willschke H, Bosenberg A, Marhofer P, et al. Ultrasonigraphic-guided ilionguinal/ilihypogastric nerve block in pediatric anesthesia: what is the optimum volume? Anesth Analg. 2006;102:1680–4.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, PA, 15232, USA

    Rita Merman MD

  2. University of Pittsburgh Medical Center, Pittsburgh, PA, ZIP, USA

    Vlad Shick MD

Authors
  1. Rita Merman MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Vlad Shick MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Rita Merman MD .

Editor information

Editors and Affiliations

  1. University Hosp and Ochsner Kenner Hosp, Prof and Chairman,Dept of Anesthesiology, Director of Interventional Pain Mgmt., Louisiana State University School of Medicine, New Orleans, 70112, USA

    Alan David Kaye

  2. Harvard Medical School, Director, Proced Sedation Mgmt & Safety, Assistant Professor of Anesthesia, Anesthesiology, Perioperative & Pain Med, Boston, 02115, USA

    Richard D. Urman

  3. Yale University School of Medicine, Associate Professor of Anesthesiology, New Haven, 06520, Connecticut, USA

    Nalini Vadivelu

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Merman, R., Shick, V. (2012). Regional Anesthesia of Thorax and Abdomen. In: Kaye, A., Urman, R., Vadivelu, N. (eds) Essentials of Regional Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1013-3_16

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-1013-3_16

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-1012-6

  • Online ISBN: 978-1-4614-1013-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation