| Celiac plexus blockade in children using a three-dimensional fluoroscopic reconstruction technique: case reports. | |
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MedLine Citation:
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PMID: 18035298 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND OBJECTIVES: We present three cases wherein a new radiologic technique was used to facilitate performance of retrocrural celiac plexus blockade. Three patients presented to our institution for performance of celiac plexus block for relief of intractable upper abdominal pain. One carried the diagnosis of chronic pancreatitis, one abdominal pain and gastrointestinal dysmotility, the other adrenocortical carcinoma. METHODS: We applied the technology used in 3-dimensional rotational angiography to determine spread of the injected medication in three dimensions, and facilitate the blocks. RESULTS: Three-dimensional rotational angiography was used with clinical success. CONCLUSIONS: Three-dimensional rotational angiography shows promise for understanding the spread of medication necessary to accomplish a successful block, and may help explain failures in cases where anatomic distortion may interfere with proper injectate flow. |
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Authors:
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Kenneth R Goldschneider; John M Racadio; Norbert J Weidner |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Regional anesthesia and pain medicine Volume: 32 ISSN: 1098-7339 ISO Abbreviation: Reg Anesth Pain Med Publication Date: 2007 Nov-Dec |
Date Detail:
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Created Date: 2007-11-23 Completed Date: 2008-01-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9804508 Medline TA: Reg Anesth Pain Med Country: United States |
Other Details:
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Languages: eng Pagination: 510-5 Citation Subset: IM |
Affiliation:
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Division of Pain Management, Department of Anesthesia, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA. Kenneth.goldschneider@cchmc.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adrenal Cortex Neoplasms
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complications Adult Carcinoma / complications Celiac Plexus* / anatomy & histology Child Child, Preschool Cystic Fibrosis / complications Fatal Outcome Gastrointestinal Motility / drug effects Humans Image Processing, Computer-Assisted / methods* Magnetic Resonance Angiography Magnetic Resonance Imaging Male Mitochondrial Diseases / complications Nerve Block* Pain / drug therapy, etiology Palliative Care Pancreatitis / complications |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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