Technique for Providing Analgesia During Percutaneous Biliary Interventional Procedures
AIMS: To evaluate the efficacy of interpleural analgesia during percutaneous transhepatic biliary procedures. METHOD: With the patient lying in the left lateral decubitus position a right sided interpleural catheter was sited at a chosen point between the 6th and 9th interspaces. Lignocaine was inje...
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| Veröffentlicht in: | Clinical radiology 2000-02, Vol.55 (2), p.131-135 |
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| creator | RAZZAQ, R. ENGLAND, R.E. MARTIN, D.F. |
| description | AIMS: To evaluate the efficacy of interpleural analgesia during percutaneous transhepatic biliary procedures.
METHOD: With the patient lying in the left lateral decubitus position a right sided interpleural catheter was sited at a chosen point between the 6th and 9th interspaces. Lignocaine was injected to provide a splanchnic and intercostal nerve block. The technique of interpleural block (IPB) is described. Assessment of the pulse, BP and O2saturation during the subsequent biliary procedure was made. The patient evaluated the maximum degree of pain felt during the biliary procedure according to a four-point pain scale (0–3). The nurse and radiologist also gave an objective assessment of the pain score.
RESULTS: An IP catheter was successfully placed in 22 patients, one patient having the IPB on two occasions. Siting of the IP catheter failed in three patients. Good analgesia with no requirement for further analgesia or sedation was achieved in 11 patients on 12 occasions. Seven patients required additional small doses of analgesia for mild pain during the biliary procedure. IPB failed in four patients who required additional analgesia and sedation. No complication of the IPB technique occurred in our patient group.
CONCLUSION: IPB is a safe and relatively effective method for analgesia during transhepatic percutaneous biliary procedures.Razzaq, R. (2000). Clinical Radiology55, 131–135. |
| doi_str_mv | 10.1053/crad.1999.0325 |
| format | Article |
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METHOD: With the patient lying in the left lateral decubitus position a right sided interpleural catheter was sited at a chosen point between the 6th and 9th interspaces. Lignocaine was injected to provide a splanchnic and intercostal nerve block. The technique of interpleural block (IPB) is described. Assessment of the pulse, BP and O2saturation during the subsequent biliary procedure was made. The patient evaluated the maximum degree of pain felt during the biliary procedure according to a four-point pain scale (0–3). The nurse and radiologist also gave an objective assessment of the pain score.
RESULTS: An IP catheter was successfully placed in 22 patients, one patient having the IPB on two occasions. Siting of the IP catheter failed in three patients. Good analgesia with no requirement for further analgesia or sedation was achieved in 11 patients on 12 occasions. Seven patients required additional small doses of analgesia for mild pain during the biliary procedure. IPB failed in four patients who required additional analgesia and sedation. No complication of the IPB technique occurred in our patient group.
CONCLUSION: IPB is a safe and relatively effective method for analgesia during transhepatic percutaneous biliary procedures.Razzaq, R. (2000). Clinical Radiology55, 131–135.</description><identifier>ISSN: 0009-9260</identifier><identifier>EISSN: 1365-229X</identifier><identifier>DOI: 10.1053/crad.1999.0325</identifier><identifier>PMID: 10657159</identifier><identifier>CODEN: CLRAAG</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Abdominal surgery. Urology. Gynecology. Obstetrics ; Aged ; Anesthesia ; Anesthesia depending on type of surgery ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthetics, Local - administration & dosage ; Biliary Tract Diseases - therapy ; Biological and medical sciences ; Cholestasis - therapy ; Female ; Humans ; Lidocaine - administration & dosage ; Liver, biliary tract, pancreas, portal circulation, spleen ; Male ; Medical sciences ; Middle Aged ; Nerve Block - methods ; Pain Measurement ; Radiology, Interventional ; regional anaesthesia, interpleural, percutaneous transhepatic biliary procedures ; Stents ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system</subject><ispartof>Clinical radiology, 2000-02, Vol.55 (2), p.131-135</ispartof><rights>2000 The Royal College of Radiologists</rights><rights>2000 INIST-CNRS</rights><rights>Copyright 2000 The Royal College of Radiologists.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-97270847fe1e193224e1d4359d43f3c2922d55b30c9909d67f5a552b58e1587f3</citedby><cites>FETCH-LOGICAL-c369t-97270847fe1e193224e1d4359d43f3c2922d55b30c9909d67f5a552b58e1587f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0009926099903252$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1264182$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10657159$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>RAZZAQ, R.</creatorcontrib><creatorcontrib>ENGLAND, R.E.</creatorcontrib><creatorcontrib>MARTIN, D.F.</creatorcontrib><title>Technique for Providing Analgesia During Percutaneous Biliary Interventional Procedures</title><title>Clinical radiology</title><addtitle>Clin Radiol</addtitle><description>AIMS: To evaluate the efficacy of interpleural analgesia during percutaneous transhepatic biliary procedures.
METHOD: With the patient lying in the left lateral decubitus position a right sided interpleural catheter was sited at a chosen point between the 6th and 9th interspaces. Lignocaine was injected to provide a splanchnic and intercostal nerve block. The technique of interpleural block (IPB) is described. Assessment of the pulse, BP and O2saturation during the subsequent biliary procedure was made. The patient evaluated the maximum degree of pain felt during the biliary procedure according to a four-point pain scale (0–3). The nurse and radiologist also gave an objective assessment of the pain score.
RESULTS: An IP catheter was successfully placed in 22 patients, one patient having the IPB on two occasions. Siting of the IP catheter failed in three patients. Good analgesia with no requirement for further analgesia or sedation was achieved in 11 patients on 12 occasions. Seven patients required additional small doses of analgesia for mild pain during the biliary procedure. IPB failed in four patients who required additional analgesia and sedation. No complication of the IPB technique occurred in our patient group.
CONCLUSION: IPB is a safe and relatively effective method for analgesia during transhepatic percutaneous biliary procedures.Razzaq, R. (2000). Clinical Radiology55, 131–135.</description><subject>Abdominal surgery. Urology. Gynecology. Obstetrics</subject><subject>Aged</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthetics, Local - administration & dosage</subject><subject>Biliary Tract Diseases - therapy</subject><subject>Biological and medical sciences</subject><subject>Cholestasis - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Lidocaine - administration & dosage</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nerve Block - methods</subject><subject>Pain Measurement</subject><subject>Radiology, Interventional</subject><subject>regional anaesthesia, interpleural, percutaneous transhepatic biliary procedures</subject><subject>Stents</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>0009-9260</issn><issn>1365-229X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAQhi0EoqWwMqIMiC3BH3ESj6V8VapEhyLYLNc5F6M0KXZSiX-Po1SCheWss557dfcgdElwQjBnt9qpMiFCiAQzyo_QmLCMx5SK92M0xhiLWNAMj9CZ9599m9L0FI0IznhOuBijtxXoj9p-dRCZxkVL1-xtaetNNK1VtQFvVXTfuf5jCU53raqh6Xx0Zyur3Hc0r1twe6hb2wS-H9dQdg78OToxqvJwcXgn6PXxYTV7jhcvT_PZdBFrlok2FjnNcZHmBggQwShNgZQp4yIUwzQVlJacrxnWQmBRZrnhinO65gUQXuSGTdDNkLtzTTjCt3JrvYaqGhaVIV2kKcYBTAZQu8Z7B0bunN2GGyTBslcpe5WyVyl7lWHg6pDcrbdQ_sEHdwG4PgDKa1UZp2pt_S9Hs5QUNGDFgEHQsLfgpNcW6uDJOtCtLBv73wo_0M-PWQ</recordid><startdate>20000201</startdate><enddate>20000201</enddate><creator>RAZZAQ, R.</creator><creator>ENGLAND, R.E.</creator><creator>MARTIN, D.F.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><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>20000201</creationdate><title>Technique for Providing Analgesia During Percutaneous Biliary Interventional Procedures</title><author>RAZZAQ, R. ; ENGLAND, R.E. ; MARTIN, D.F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c369t-97270847fe1e193224e1d4359d43f3c2922d55b30c9909d67f5a552b58e1587f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Abdominal surgery. Urology. Gynecology. Obstetrics</topic><topic>Aged</topic><topic>Anesthesia</topic><topic>Anesthesia depending on type of surgery</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthetics, Local - administration & dosage</topic><topic>Biliary Tract Diseases - therapy</topic><topic>Biological and medical sciences</topic><topic>Cholestasis - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Lidocaine - administration & dosage</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nerve Block - methods</topic><topic>Pain Measurement</topic><topic>Radiology, Interventional</topic><topic>regional anaesthesia, interpleural, percutaneous transhepatic biliary procedures</topic><topic>Stents</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RAZZAQ, R.</creatorcontrib><creatorcontrib>ENGLAND, R.E.</creatorcontrib><creatorcontrib>MARTIN, D.F.</creatorcontrib><collection>Pascal-Francis</collection><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>Clinical radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RAZZAQ, R.</au><au>ENGLAND, R.E.</au><au>MARTIN, D.F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Technique for Providing Analgesia During Percutaneous Biliary Interventional Procedures</atitle><jtitle>Clinical radiology</jtitle><addtitle>Clin Radiol</addtitle><date>2000-02-01</date><risdate>2000</risdate><volume>55</volume><issue>2</issue><spage>131</spage><epage>135</epage><pages>131-135</pages><issn>0009-9260</issn><eissn>1365-229X</eissn><coden>CLRAAG</coden><abstract>AIMS: To evaluate the efficacy of interpleural analgesia during percutaneous transhepatic biliary procedures.
METHOD: With the patient lying in the left lateral decubitus position a right sided interpleural catheter was sited at a chosen point between the 6th and 9th interspaces. Lignocaine was injected to provide a splanchnic and intercostal nerve block. The technique of interpleural block (IPB) is described. Assessment of the pulse, BP and O2saturation during the subsequent biliary procedure was made. The patient evaluated the maximum degree of pain felt during the biliary procedure according to a four-point pain scale (0–3). The nurse and radiologist also gave an objective assessment of the pain score.
RESULTS: An IP catheter was successfully placed in 22 patients, one patient having the IPB on two occasions. Siting of the IP catheter failed in three patients. Good analgesia with no requirement for further analgesia or sedation was achieved in 11 patients on 12 occasions. Seven patients required additional small doses of analgesia for mild pain during the biliary procedure. IPB failed in four patients who required additional analgesia and sedation. No complication of the IPB technique occurred in our patient group.
CONCLUSION: IPB is a safe and relatively effective method for analgesia during transhepatic percutaneous biliary procedures.Razzaq, R. (2000). Clinical Radiology55, 131–135.</abstract><cop>Amsterdam</cop><pub>Elsevier Ltd</pub><pmid>10657159</pmid><doi>10.1053/crad.1999.0325</doi><tpages>5</tpages></addata></record> |
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| subjects | Abdominal surgery. Urology. Gynecology. Obstetrics Aged Anesthesia Anesthesia depending on type of surgery Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthetics, Local - administration & dosage Biliary Tract Diseases - therapy Biological and medical sciences Cholestasis - therapy Female Humans Lidocaine - administration & dosage Liver, biliary tract, pancreas, portal circulation, spleen Male Medical sciences Middle Aged Nerve Block - methods Pain Measurement Radiology, Interventional regional anaesthesia, interpleural, percutaneous transhepatic biliary procedures Stents Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
| title | Technique for Providing Analgesia During Percutaneous Biliary Interventional Procedures |
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