Analgesic Benefits of Ultrasound-Guided Thoraco-Abdominal Wall Peripheral Nerve Blocks
Jaime Ortiz*, Lisa Mouzi Wofford
Baylor College of Medicine Houston, Texas, USA
Abstract
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.
Keywords: Ultrasound, Thoraco-Abdominal Wall, Analgesic, Nerve Blocks, Postoperative Pain, Surgery.
Article Information
Article History:
Received Date: 05/08/2016
Revision Received Date: 04/11/2016
Acceptance Date: 16/11/2016
Electronic publication date: 26/12/2016
Collection year: 2016
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© Ortiz and Wofford.; Licensee Bentham Open
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0)(
https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
* Address correspondence to this author at the Baylor College of Medicine, One Baylor Plaza MS: BCM 120 Houston, Texas, USA; Tel: +7138732860; Fax: +7138732867; E-mail: jaimeo@bcm.edu