Effect of ultrasound-guided intercostal nerve block on postoperative pain after percutaneous nephrolithotomy

Özkan, Derya; Akkaya, Taylan; Karakoyunlu, Nihat; Arık, Emine; Ergil, Jülide; Koç, Zarife; Gümüş, Haluk; Ersoy, Hamit

doi:10.1007/s00101-013-2253-z

Cited by 39 publications

(34 citation statements)

References 22 publications

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“…12 Intercostal nerve blocks have been conducted for pain control after chest trauma, flail chest, percutaneous nephrolithotomy, intercostal neuralgia, and PHN. 12,17,18 A reduction of acute pain could be achieved both peripherally and more centrally, and early inhibition of the inflammatory process could prevent neural damage. 2,19 There are a few reports about the effect of intercostal nerve blocks in patients with HZ.…”

Section: Discussionmentioning

confidence: 99%

Effect of Ultrasound‐Guided Intercostal Nerve Block Versus Fluoroscopy‐Guided Epidural Nerve Block in Patients With Thoracic Herpes Zoster: A Comparative Study

Lee

Park

Moon

et al. 2018

J of Ultrasound Medicine

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Objectives To compare the efficacy of a conventional fluoroscopy‐guided epidural nerve block and an ultrasound (US)‐guided intercostal nerve block in patients with thoracic herpes zoster (HZ). Methods This work was a comparative study of 38 patients with thoracic HZ pain and a chest wall herpetic eruption, aged 18 years or older, with pain intensity of 5 or greater on a numeric rating scale (NRS) for less than a 1‐month duration. Patients were consecutively enrolled and assigned to 2 groups in which the intervention was either the US‐guided intercostal nerve block or the fluoroscopy‐guided epidural nerve block approach with the addition of a 5‐mL mix of 2.5 mg of dexamethasone plus 0.5% lidocaine. The primary outcome measure was the NRS score reduction for the pain. Secondary outcomes included the duration of treatment, number of repeated injections until the final visit, and proportion of patients with pain relief after the first and final visits. Results All patients within both intervention groups showed significant pain relief on the NRS at the final follow‐up point (P < .05). There was no significant difference in the mean value of NRS improvement based on the intervention type. There was also no statistically significant difference in the duration of treatment and the frequency of injection for pain relief. Conclusions These findings showed that both the US‐guided intercostal nerve block and the fluoroscopy‐guided epidural nerve block were effective in patients with thoracic HZ. Compared data showed no significant differences in the pain reduction, duration of treatment, and frequency of injection. The US‐guided intercostal nerve block, which is more accessible than the fluoroscopy‐guided epidural nerve block, might be an alternative option for thoracic HZ.

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Section: Discussionmentioning

confidence: 99%

Effect of Ultrasound‐Guided Intercostal Nerve Block Versus Fluoroscopy‐Guided Epidural Nerve Block in Patients With Thoracic Herpes Zoster: A Comparative Study

Lee

Park

Moon

et al. 2018

J of Ultrasound Medicine

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“…The patients in Group A received 0.1 μg/kg of intravenous sufentanil for pain relief. The patients in Group B received ultrasound‐guided ICNB for pain relief . Patients in Group B were placed in the lateral decubitus position with the surgical side on top, and the block point was located at the angle of rib approximately 5 to 7 cm lateral to the midline posteriorly.…”

Section: Methodsmentioning

confidence: 99%

“…The patients in Group B received ultrasound-guided ICNB for pain relief. 4 Patients in Group B were placed in the lateral decubitus position with the surgical side on top, and the block point was located at the angle of rib approximately 5 to 7 cm lateral to the midline posteriorly. A linear array transducer (Venue40; GE Healthcare, Waukesha, WI, U.S.A.) with a frequency range of 6 to 13 MHz was placed in a longitudinal parasagittal orientation to identify the ribs and pleural line (Figure 2A).…”

Section: Methodsmentioning

confidence: 99%

Ultrasound‐Guided Intercostal Nerve Block Following Esophagectomy for Acute Postoperative Pain Relief in the Postanesthesia Care Unit

Zhu

Sun

et al. 2018

Pain Practice

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“…It is also indicated for pain relief after breast surgeries, rib fractures, and chronically painful conditions such as postherpetic neuralgia [26,27]. It can provide sufficient pain surgeries is questionable [20,24].…”

Section: Evidence and Clinical Applicationsmentioning

confidence: 99%

Ultrasound-guided truncal blocks for perioperative analgesia

Koh

Lee

2018

Anesth Pain Med

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Since the widespread introduction of ultrasound for assisting techniques used in anesthetic theatres, peripheral nerve blocks of the trunk have been used more frequently to produce analgesia and anesthesia for surgeries involving the thorax, abdomen, and lower extremities. The introduction of real-time ultrasound has allowed the peripheral nerves, planes, and plexuses of the trunk to be located more accurately and has improved the success rate of truncal blocks The widespread application of ultrasound in clinical anesthesiology has led to an increase in the number of practitioners performing peripheral nerve blocks of the trunk to produce analgesia and anesthesia for surgeries involving the thorax, abdomen, and lower extremities. The use of real-time ultrasound has allowed the peripheral nerves, planes, and plexuses of the trunk to be located more accurately and has improved the success rate of blocks. Compared to central neuraxial techniques, many types of truncal blocks are relatively easy to perform and have low side effect profiles. As a result, truncal blocks have been introduced to provide perioperative analgesia for surgeries involving the thorax and abdomen. The most frequently used truncal block techniques include the paravertebral block, intercostal block, pectoralis and serratus anterior block, rectus sheath block, transversus abdominis plane block, and ilioinguinal and iliohypogastric nerve blocks. Recently introduced techniques also include the quadratus lumborum and erector spinae plane blocks. To apply each block correctly and reduce the likelihood of related side effects and complications, the practitioner must have a thorough understanding of the anatomical region, optimal block positioning, and device selection and management.

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Effect of ultrasound-guided intercostal nerve block on postoperative pain after percutaneous nephrolithotomy

Abstract: In PCNL with nephrostomy tube placement US-guided ICNB performed at the 11th and 12th intercostal spaces provided effective analgesia.

Cited by 39 publications

References 22 publications

Effect of Ultrasound‐Guided Intercostal Nerve Block Versus Fluoroscopy‐Guided Epidural Nerve Block in Patients With Thoracic Herpes Zoster: A Comparative Study

Effect of Ultrasound‐Guided Intercostal Nerve Block Versus Fluoroscopy‐Guided Epidural Nerve Block in Patients With Thoracic Herpes Zoster: A Comparative Study

Ultrasound‐Guided Intercostal Nerve Block Following Esophagectomy for Acute Postoperative Pain Relief in the Postanesthesia Care Unit

Ultrasound-guided truncal blocks for perioperative analgesia

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