| Evaluation of posteromedial transdiscal superior hypogastric block after failure of the classic approach. | |
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MedLine Citation:
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PMID: 20664339 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The iliac crest and L5 transverse process are potential barriers to proper needle placement in superior hypogastric plexus block (SHPB) for pelvic cancer pain. Several investigators report successful SHPB using a paramedian transdiscal approach. Another new single puncture approach, posteromedian transdiscal, has been described which can be performed with the patient in either lateral or prone position. METHODS: Twenty-two patients were included in the study. Visual analog score, daily morphine consumption, duration of the procedure, side effects, and Quality of Life Questionnaire-C30 were recorded. RESULTS: The duration of the procedure was 21.4 ± 6.5 minutes. The mean visual analog score, daily morphine consumption, and Quality of Life Questionnaire-C30 score were significantly decreased. There was no neural injury, headache, discitis, or disc herniation. CONCLUSIONS: The posteromedian transdiscal approach to SHPB for cancer pain proved to be safe and reliable compared with the classic technique. No nerve or disc-related complications were noted. |
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Authors:
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Dina Nabil; Ali A Eissa |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Clinical journal of pain Volume: 26 ISSN: 1536-5409 ISO Abbreviation: Clin J Pain Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-15 Completed Date: 2011-01-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8507389 Medline TA: Clin J Pain Country: United States |
Other Details:
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Languages: eng Pagination: 694-7 Citation Subset: IM |
Affiliation:
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Anesthesiology and Algology Department, National Cancer Institute, Cairo University, Egypt. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Analgesics, Opioid / therapeutic use Female Humans Hypogastric Plexus / surgery* Male Middle Aged Morphine / therapeutic use Nerve Block / methods Neurosurgical Procedures / methods* Outcome Assessment (Health Care) / methods Pain Measurement / methods Pelvic Neoplasms / complications Pelvic Pain / drug therapy, etiology, psychology, surgery* Quality of Life Questionnaires Retrospective Studies Statistics, Nonparametric |
| Chemical | |
Reg. No./Substance:
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0/Analgesics, Opioid; 57-27-2/Morphine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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