Intercostal Nerve Block
Ultrasound Guided Regional Anesthesia and Interventional Pain
“Ultrasound assisted approach is a simple, reproducible technique in most patients with an easy to understand ultrasound anatomy. Adequate analgesia could be provided through a single puncture and may be an alternative to neuroaxial blocks.”
In Percutaneous nephrolithotomy (PCNL) with nephrostomy tube placement US-guided intercostal nerve block (ICNB) performed at the 11th and 12th intercostal spaces provided effective analgesia.
“Utilization of continuous intercostal nerve block (CINB) significantly improves pulmonary function, pain control, and shortens length of stay (LOS) in patients with rib fractures.”
“Concurrent combination therapy with proper medications and appropriate intercostal nerve blocks could offer satisfactory pain relief in the majority of elderly patients with Post Herpetic Neuragia (PHN).”
“Intrapleural intercostal nerve block (IINB) associated with mini-thoracotomy reduces postoperative pain and contributes to improve postoperative outcome after major pulmonary resections.”
“Additional intraoperative intercostal nerve blockade provides an additive benefit for postthoracotomy pain relief, especially early after operation.”
“An effective use of an intercostal nerve block using 5% tetracaine in three patients with postherpetic intercostal neuralgia or postoperative intercostal neuralgia.”
“The incidence of pneumothorax (PTX) per individual intercostal nerve blocked is low. Intercostal nerve block (INB) is an effective form of analgesia, and for most patients with rib fractures one INBP is sufficient to allow adequate respiratory exercises and discharge from the hospital.”
“Appropriate use of nerve block and establishment of practical guidelines for multidisciplinary management of pain are mandatory for improving the QOL of patients with cancer.”
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