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Canadian Journal of Anesthesia/Journal canadien d'anesthésie

Erschienen in:

23.08.2022 | Editorials

Fascial plane blocks: moving from the expansionist to the reductionist era

verfasst von: Jonathan G. Bailey, MD, MSc, FRCPC, Vishal Uppal, MBBS, MSc, FRCA

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 10/2022

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Excerpt

As even a casual observer will have noticed, fascial plane blocks have exploded in both popularity and number over the last several years. The realization that local anesthetic (LA) does not need to be delivered immediately adjacent to target nerves has been revolutionary for regional anesthesia. Instead, large volumes can spread along fascial planes to provide analgesia by either coming in contact with multiple nerves, diffusion through fascia into adjacent tissues, or by vascular absorption. ¹ That a single-injection point could produce a large area of numbness has resulted in the description of a dizzying array of fascial plane targets for a wide variety of indications. …

Chin KJ, Lirk P, Hollmann MW, Schwarz SKW. Mechanisms of action of fascial plane blocks: a narrative review. Reg Anesth Pain Med 2021; 46: 618–28. https://doi.org/10.1136/rapm-2020-102305 CrossRefPubMed

El-Boghdadly K, Wolmarans M, Stengel AD, et al. Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks. Reg Anesth Pain Med 2021; 46: 571–80. https://doi.org/10.1136/rapm-2020-102451 CrossRefPubMed

Fitzgerald S, Odor PM, Barron A, Pawa A. Breast surgery and regional anaesthesia. Best Pract Res Clin Anaesthesiol 2019; 33: 95–110. https://doi.org/10.1016/j.bpa.2019.03.003 CrossRefPubMed

Del Buono R, Costa F, Agrò FE. Parasternal, pecto-intercostal, pecs, and transverse thoracic muscle plane blocks: a rose by any other name would smell as sweet. Reg Anesth Pain Med 2016; 41: 791–2. https://doi.org/10.1097/aap.0000000000000464 CrossRefPubMed

Singh NP, Makkar JK, Kuberan A, Guffey R, Uppal V. Efficacy of regional anesthesia techniques for postoperative analgesia in patients undergoing major oncologic breast surgeries: a systematic review and network meta-analysis of randomized controlled trials. Can J Anesth 2022; 69: 527–49. https://doi.org/10.1007/s12630-021-02183-z CrossRefPubMed

Rawal N. Epidural technique for postoperative pain gold standard no more? Reg Anesth Pain Med 2012; 37: 310–7. https://doi.org/10.1097/aap.0b013e31825735c6 CrossRefPubMed

Bailey JG, Morgan CW, Christie R, Ke JX, Kwofie MK, Uppal V. Continuous peripheral nerve blocks compared to thoracic epidurals or multimodal analgesia for midline laparotomy: a systematic review and meta-analysis. Korean J Anesthesiol 2021; 74: 394–408. https://doi.org/10.4097/kja.20304 CrossRefPubMed

Ohgoshi Y, Kawagoe I, Ando A, Ikegami M, Hanai S, Ichimura K. Novel external oblique muscle plane block for blockade of the lateral abdominal wall: a pilot study on volunteers. Can J Anesth 2022; this issue. https://doi.org/10.1007/s12630-022-02310-4

Chin KJ, McDonnell JG, Carvalho B, Sharkey A, Pawa A, Gadsden J. Essentials of our current understanding: abdominal wall blocks. Reg Anesth Pain Med 2017; 42: 133–83. https://doi.org/10.1097/aap.0000000000000545 CrossRefPubMed

10.

Zhang J, He Y, Wang S, et al. The erector spinae plane block causes only cutaneous sensory loss on ipsilateral posterior thorax: a prospective observational volunteer study. BMC Anesthesiology 2020; 20: 88. https://doi.org/10.1186/s12871-020-01002-0 CrossRefPubMedPubMedCentral

11.

Lu Y, Zhang J, Xu X, et al. Sensory assessment and block duration of transmuscular quadratus lumborum block at L2 versus L4 in volunteers: a randomized controlled trial. Minerva Anestesiol 2019; 85: 1273–80. https://doi.org/10.23736/s0375-9393.19.13656-5

12.

Uppal V, Retter S, Kehoe E, McKeen DM. Quadratus lumborum block for postoperative analgesia: a systematic review and meta-analysis. Can J Anesth 2020; 67: 1557–75. https://doi.org/10.1007/s12630-020-01793-3 CrossRefPubMed

13.

Uppal V, Sancheti S, Kalagara H. Transversus abdominis plane (TAP) and rectus sheath blocks: a technical description and evidence review. Curr Anesthesiol Rep 2019; 9: 479–87. https://doi.org/10.1007/s40140-019-00351-y CrossRef

14.

Elsharkawy H, Kolli S, Soliman LM, et al. The external oblique intercostal block: anatomical evaluation and case series. Pain Medicine 2021; 22: 2436–42. https://doi.org/10.1093/pm/pnab296 CrossRefPubMed

15.

Tulgar S, Senturk O, Selvi O, et al. Perichondral approach for blockage of thoracoabdominal nerves: anatomical basis and clinical experience in three cases. J Clin Anesth 2019; 54: 8–10. https://doi.org/10.1016/j.jclinane.2018.10.015 CrossRefPubMed

Titel: Fascial plane blocks: moving from the expansionist to the reductionist era
verfasst von: Jonathan G. Bailey, MD, MSc, FRCPC
Vishal Uppal, MBBS, MSc, FRCA
Publikationsdatum: 23.08.2022
Verlag: Springer International Publishing
Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 10/2022
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI: https://doi.org/10.1007/s12630-022-02309-x

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