Coeliac plexus block and cephalic spread of injectate.
Extensive cephalic spread of solution occurred in three out of seven cases studied during coeliac plexus blockade. Spread on to cardiac nerves and plexus may be a factor in hypotension following this procedure. Incremental dosage and careful screening is recommended.
Hardy
P A
PA
Pain Relief Foundation, Walton Hospital, Liverpool.
Wells
J C
JC
D001340:Autonomic Nerve Block; D002045:Bupivacaine / Q000493:pharmacokinetics*; D002447:Celiac Plexus; D003287:Contrast Media; D000431:Ethanol / Q000493:pharmacokinetics*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging; D006801:Humans; D010148:Intractable Pain / Q000628:therapy; D011859:Radiography
D003287:Contrast Media; D000431:Ethanol; D002045:Bupivacaine