title: [Ultrasound-guided cutaneous intercostal branches nerves block: A good analgesic alternative for gallbladder open surgery].
abstract: Laparoscopic cholecystectomy has become the standard treatment for gallbladder diseases. However, there are still some patients for whom conversion to open surgery is required. This surgery can produce significant post-operative pain. Opioids drugs have traditionally been used to treat this pain, but side effects have led to seeking alternatives (plexus, nerve or fascia blocks or wound). The cases are presented of 4 patients subjected to ultrasound-guided intercostal branches blocks in the mid-axillary line from T6 to T12 with levobupivacaine as an analgesic alternative in open surgery of gallbladder, with satisfactory results.
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Medina del Campo, Medina del Campo, Valladolid, España. Electronic address: Maitefm70@hotmail.com.
authors.forename: M T
authors.initials: MT
authors.lastname: Fernández Martín
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Abente y Lago, Complexo Hospitalario Universitario A Coruña, A Coruña, España.
authors.forename: S
authors.initials: S
authors.lastname: López Álvarez
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Medina del Campo, Medina del Campo, Valladolid, España.
authors.forename: G
authors.initials: G
authors.lastname: Mozo Herrera
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Medina del Campo, Medina del Campo, Valladolid, España.
authors.forename: J J
authors.initials: JJ
authors.lastname: Platero Burgos
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000008:administration & dosage* / Q000627:therapeutic use; D002045:Bupivacaine / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000627:therapeutic use; D002763:Cholecystectomy / Q000379:methods*; D002764:Cholecystitis / Q000601:surgery; D004630:Emergencies; D005260:Female; D006801:Humans; D007367:Intercostal Nerves / Q000187:drug effects*; D000077554:Levobupivacaine; D008297:Male; D009407:Nerve Block / Q000379:methods*; D059408:Pain Management; D010149:Postoperative Pain / Q000517:prevention & control*; D018084:Ultrasonography, Interventional
chemical_list: D000779:Anesthetics, Local; D000077554:Levobupivacaine; D002045:Bupivacaine
keywords: Colecistectomía abierta; Dolor postoperatorio; Intercostal nerves; Levobupivacaine; Levobupivacaína; Nervios intercostales; Open cholecystectomy; Post-operative pain; Ultrasonografía; Ultrasound