Bedside ultrasound-guided celiac plexus neurolysis with bilateral paramedian needle entry technique can be an effective pain control technique in advanced upper abdominal cancer pain.
The celiac plexus block is an approved method for the relief of upper abdominal cancer pain. Classically, fluoroscopy-guided posterior approach to the celiac plexus block has been used. Computed tomography-guided anterior approach and endoscopic ultrasound-guided approach have also been utilized. An ultrasound-guided anterior approach to celiac plexus neurolysis with median plane single-needle entry technique has been described that targets the preaortic area between the origins of celiac trunk and superior mesenteric artery. We describe our experience with and decision to use the bedside ultrasound-guided anterior approach to celiac plexus neurolysis using bilateral paramedian needle entry technique.
Bhatnagar
Sushma
S
Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.
Gupta
Deepak
D
Mishra
Seema
S
Thulkar
Sanjay
S
Chauhan
Himanshu
H
D000008:Abdominal Neoplasms / Q000503:physiopathology*; D015746:Abdominal Pain / Q000188:drug therapy*; D002447:Celiac Plexus / Q000000981:diagnostic imaging*; D019160:Endosonography; D006801:Humans; D009339:Needles; D009407:Nerve Block / Q000379:methods*; D010148:Intractable Pain / Q000188:drug therapy*; D019095:Point-of-Care Systems