The rectus sheath block in paediatric anaesthesia: new indications for an old technique?

Ferguson, Shelagh; Thomas, Vinoo; Lewis, I.H.

doi:10.1046/j.1460-9592.1996.d01-24.x

Cited by 112 publications

(86 citation statements)

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“…RS block has been assessed as a modality for pain management in umbilical hernia repair. 12,14,15 Isaac et al 14 compared RS block with local anesthetic infiltration and found no difference in postoperative opioid use and pain scores between the two modalities. However, similar to our study, Gurnaney et al 12 found that ultrasound-guided RS block provided better analgesia than local anesthetic infiltration in umbilical hernia repair cases; furthermore, it can provide real-time information on the needle tip location and the local anesthetic delivery to the desired location.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Transversus Abdominis Plane Block and Rectus Sheath Block in Laparoscopic Inguinal Hernia Surgery

Takebayashi

Matsumura

Kawai

et al. 2015

International Surgery

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We aimed to assess the efficacy of transversus abdominis plane (TAP) block and rectus sheath (RS) block in patients undergoing laparoscopic inguinal hernia surgery. Few studies have addressed the efficacy and safety associated with TAP block and RS block for laparoscopic surgery. Thirty-two patients underwent laparoscopic inguinal hernia surgery, either with TAP and RS block (Block þ group, n ¼ 18) or without peripheral nerve block (Block À group, n ¼ 14). Preoperatively, TAP and RS block were performed through ultrasound guidance. We evaluated postoperative pain control and patient outcomes. The mean postoperative hospital stays were 1.56 days (Blockþ group) and 2.07 days (Block À group; range, 1-3 days in both groups; P ¼ 0.0038). A total of 11 patients and 1 patient underwent day surgery in the Block þ and Block À groups, respectively (P ¼ 0.0012). Good postoperative pain control was more commonly observed in the Block þ group than in the Block À group (P ¼ 0.011). TAP and RS block was effective in reducing postoperative pain and was associated with a fast recovery in patients undergoing laparoscopic inguinal hernia surgery.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Transversus Abdominis Plane Block and Rectus Sheath Block in Laparoscopic Inguinal Hernia Surgery

Takebayashi

Matsumura

Kawai

et al. 2015

International Surgery

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“…In 1996, it was suggested that this old technique might provide analgesia following umbilical hernia repairs in children [54]. …”

Section: Clinical Background and Anatomymentioning

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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“…a grade A recommendation for the use of US guidance for the RS block has been granted (Abrahams 2010). The RS block has been utilized to provide analgesia for midline incisions and laparoscopic procedures (Ferguson 1996, Abrahams 2010. RS blocks may also be effective in reducing postoperative pain in upper abdominal surgery as an alternative method to epidural analgesia in anticoagulated patients (Osaka 2010).…”

Section: Usg Rectus Sheath (Rs) Blockmentioning

confidence: 99%

Abdominal Surgery: Advances in the Use of Ultrasound-Guided Truncal Blocks for Perioperative Pain Management

Børglum¹,

Jensen²

2012

Abdominal Surgery

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The rectus sheath block in paediatric anaesthesia: new indications for an old technique?

Cited by 112 publications

References 0 publications

Efficacy of Transversus Abdominis Plane Block and Rectus Sheath Block in Laparoscopic Inguinal Hernia Surgery

Efficacy of Transversus Abdominis Plane Block and Rectus Sheath Block in Laparoscopic Inguinal Hernia Surgery

Ultrasound-guided truncal blocks for perioperative analgesia

Abdominal Surgery: Advances in the Use of Ultrasound-Guided Truncal Blocks for Perioperative Pain Management

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