Bedside ultrasound-guided celiac plexus neurolysis with bilateral paramedian needle entry technique can be an effective pain control technique in advanced upper abdominal cancer pain
The celiac plexus block is an approved method for the relief of upper abdominal cancer pain. Classically, fluoroscopy-guided posterior approach to the celiac plexus block has been used. Computed tomography-guided anterior approach and endoscopic ultrasound-guided approach have also been utilized. An...
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Veröffentlicht in: | Journal of palliative medicine 2008-11, Vol.11 (9), p.1195-1199 |
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container_title | Journal of palliative medicine |
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creator | Bhatnagar, Sushma Gupta, Deepak Mishra, Seema Thulkar, Sanjay Chauhan, Himanshu |
description | The celiac plexus block is an approved method for the relief of upper abdominal cancer pain. Classically, fluoroscopy-guided posterior approach to the celiac plexus block has been used. Computed tomography-guided anterior approach and endoscopic ultrasound-guided approach have also been utilized. An ultrasound-guided anterior approach to celiac plexus neurolysis with median plane single-needle entry technique has been described that targets the preaortic area between the origins of celiac trunk and superior mesenteric artery. We describe our experience with and decision to use the bedside ultrasound-guided anterior approach to celiac plexus neurolysis using bilateral paramedian needle entry technique. |
doi_str_mv | 10.1089/jpm.2008.0082 |
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Classically, fluoroscopy-guided posterior approach to the celiac plexus block has been used. Computed tomography-guided anterior approach and endoscopic ultrasound-guided approach have also been utilized. An ultrasound-guided anterior approach to celiac plexus neurolysis with median plane single-needle entry technique has been described that targets the preaortic area between the origins of celiac trunk and superior mesenteric artery. 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We describe our experience with and decision to use the bedside ultrasound-guided anterior approach to celiac plexus neurolysis using bilateral paramedian needle entry technique.</description><subject>Abdominal Neoplasms - physiopathology</subject><subject>Abdominal Pain - drug therapy</subject><subject>Celiac Plexus - diagnostic imaging</subject><subject>Endosonography</subject><subject>Humans</subject><subject>Needles</subject><subject>Nerve Block - methods</subject><subject>Pain, Intractable - drug therapy</subject><subject>Point-of-Care Systems</subject><issn>1096-6218</issn><issn>1557-7740</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkUtv1TAQhS1ERUthyRZ5xS4X24ljewkVL6kSm3YdTewJdeU4wY4L94_19-HQK8HCDx1_Mx6dQ8gbzg6cafP-fp0PgjF9qEs8IxdcStUo1bHn9c5M3_SC63PyMud7VhHD5Atyzg0TvNPsgjx-RJe9Q1rCliAvJbrmR6mCoxaDB0vXgL9LphFLWsIx-0x_-e2Ojj7AhgkCXSHBjM5DrBC6gBTjlo50Q3sX_c-C1NanEWndcZrQbv4Ba5WP1C6VXMJ_aBXBPUC0dYCyrpgojG6Zfawf2V1OfytfkbMJQsbXp_OS3H7-dHP1tbn-_uXb1YfrxgrDt0ZD20veG6MmyaC14yjbTjveKTkpAQKlGp0BYfrWita2YEdjueS7f71Q0F6Sd09917TU8fI2zD5XYwJEXEoeeqO57pSuYPME2rTknHAa1uRnSMeBs2EPaqhBDXtQwx5U5d-eGpexmvePPiXT_gHcYpM1</recordid><startdate>200811</startdate><enddate>200811</enddate><creator>Bhatnagar, Sushma</creator><creator>Gupta, Deepak</creator><creator>Mishra, Seema</creator><creator>Thulkar, Sanjay</creator><creator>Chauhan, Himanshu</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200811</creationdate><title>Bedside ultrasound-guided celiac plexus neurolysis with bilateral paramedian needle entry technique can be an effective pain control technique in advanced upper abdominal cancer pain</title><author>Bhatnagar, Sushma ; Gupta, Deepak ; Mishra, Seema ; Thulkar, Sanjay ; Chauhan, Himanshu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c291t-8a36516997f50a3cbb5348d1475f72a2e57bd9a2963c23c3acb9c1517740627a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Abdominal Neoplasms - physiopathology</topic><topic>Abdominal Pain - drug therapy</topic><topic>Celiac Plexus - diagnostic imaging</topic><topic>Endosonography</topic><topic>Humans</topic><topic>Needles</topic><topic>Nerve Block - methods</topic><topic>Pain, Intractable - drug therapy</topic><topic>Point-of-Care Systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bhatnagar, Sushma</creatorcontrib><creatorcontrib>Gupta, Deepak</creatorcontrib><creatorcontrib>Mishra, Seema</creatorcontrib><creatorcontrib>Thulkar, Sanjay</creatorcontrib><creatorcontrib>Chauhan, Himanshu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of palliative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bhatnagar, Sushma</au><au>Gupta, Deepak</au><au>Mishra, Seema</au><au>Thulkar, Sanjay</au><au>Chauhan, Himanshu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bedside ultrasound-guided celiac plexus neurolysis with bilateral paramedian needle entry technique can be an effective pain control technique in advanced upper abdominal cancer pain</atitle><jtitle>Journal of palliative medicine</jtitle><addtitle>J Palliat Med</addtitle><date>2008-11</date><risdate>2008</risdate><volume>11</volume><issue>9</issue><spage>1195</spage><epage>1199</epage><pages>1195-1199</pages><issn>1096-6218</issn><eissn>1557-7740</eissn><abstract>The celiac plexus block is an approved method for the relief of upper abdominal cancer pain. 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source | MEDLINE; Alma/SFX Local Collection |
subjects | Abdominal Neoplasms - physiopathology Abdominal Pain - drug therapy Celiac Plexus - diagnostic imaging Endosonography Humans Needles Nerve Block - methods Pain, Intractable - drug therapy Point-of-Care Systems |
title | Bedside ultrasound-guided celiac plexus neurolysis with bilateral paramedian needle entry technique can be an effective pain control technique in advanced upper abdominal cancer pain |
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