title: [Ultrasound-guided rectus sheath block for upper abdominal surgery].
abstract: Upper abdominal surgery leads to severe postoperative pain. Insufficient postoperative analgesia accompanies a high incidence of complications. Therefore, postoperative analgesia is very important. The epidural analgesia has many advantages. However it has a high risk of epidural hematoma in anticoagulated patients. Rectus sheath block provided safer and more reliable analgesia in recent years, by the development of ultrasound tools. We experienced two cases of the rectus sheath block in upper abdominal surgery under ultrasound guidance. Ultrasound guided rectus sheath block can reduce the risk of peritoneal puncture, bleeding, and other complications. Rectus sheath block is very effective to reduce postoperative pain in upper abdominal surgery as an alternative method to epidural anesthesia in anticoagulated patients.
authors: Department of Anesthesiology, Kitasato Institute Hospital, Kitasato University, Tokyo 108-8642.
authors: Yoshimune
authors: Y
authors: Osaka
authors: Masanori
authors: M
authors: Kashiwagi
authors: Yukio
authors: Y
authors: Nagatsuka
authors: Masayoshi
authors: M
authors: Oosaku
authors: Chikako
authors: C
authors: Hirose
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D016629:Esophagectomy; D005743:Gastrectomy; D015391:Gastroplasty; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D017568:Rectus Abdominis / Q000000981:diagnostic imaging* / Q000294:innervation*; D014463:Ultrasonography