Document Detail

Anterior ultrasound-guided superior hypogastric plexus neurolysis in pelvic cancer pain.
MedLine Citation:
PMID:  18853596     Owner:  NLM     Status:  MEDLINE    
The hypogastric plexus block is classically performed by a posterior approach, but there are recent reports of a computed tomography-guided anterior approach for patients who have difficult access to the hypogastric plexus by the posterior approach. We present two patients who were successfully given ultrasound-guided superior hypogastric plexus block by an anterior approach. The anterior ultrasound-guided superior hypogastric plexus neurolysis technique is simple to perform. We believe this block can be useful in cancer patients who are having difficulty in lying prone, because it is a bedside procedure performed in the supine position and it is less time-consuming. It also avoids the radiation exposure involved with a computed tomography-guided anterior approach.
S Mishra; S Bhatnagar; D Gupta; S Thulkar
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  36     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-10-15     Completed Date:  2009-01-14     Revised Date:  2011-03-07    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  732-5     Citation Subset:  IM    
Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
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MeSH Terms
Anesthetics, Local / administration & dosage,  therapeutic use
Bupivacaine / administration & dosage,  therapeutic use
Follow-Up Studies
Hypogastric Plexus / drug effects,  ultrasonography*
Middle Aged
Nerve Block / methods*
Pain Measurement
Pelvic Neoplasms / complications*
Pelvic Pain / drug therapy*,  etiology*
Supine Position
Ultrasonography, Interventional / methods*
Reg. No./Substance:
0/Anesthetics, Local; 2180-92-9/Bupivacaine
Comment In:
Anaesth Intensive Care. 2011 Jan;39(1):131   [PMID:  21375104 ]

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