Ultrasound-assisted Retrocrural Splachnic Nerve Block: Two Case Reports
*Corresponding Author: Hsieh YJ, Department of Anesthesiology, Taichung Veteran General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung 40705, Taiwan, Tel: 886919555995, Email: cipherhsieh@gmail.comReceived Date: Sep 30, 2019 / Accepted Date: Nov 01, 2019 / Published Date: Nov 08, 2019
Citation: Hsieh YJ, Wu CC (2019) Ultrasound-assisted Retrocrural Splachnic Nerve Block: Two Case Reports. J Pain Relief 8:345.
Copyright: © 2019 Hsieh YJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Introduction: The traditional approach of fluoroscopic splanchnic nerve block has disadvantages of radiation exposure and poor recognition of vascular structures, organs and soft tissues, here we present a novel approach using ultrasound-assisted technique.
Case reports: In two cases we have used ultrasound-assisted technique with paramedian approach of needle insertion at the T12 level to target and infuse the local anesthetics in the retrocrural space which provide splanchnic nerve blockade. Both cases have great pain relief and no complication was noted.
Discussion: We concluded that this technique is likely a safer, simpler and more convenient method for performing upper abdominal sympathetic nerve block.