A novel ultrasound-guided technique in peri-paravertebral area: Subtransverse process interligamentary (STIL) plane block: The game has not ended yet

Kılıçaslan, Alper; Sarkılar, Gamze; Altınok, Tamer; Tulgar, Serkan

doi:10.1016/j.jclinane.2019.08.047

Cited by 26 publications

(24 citation statements)

References 5 publications

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“…27 The midpoint transverse process to pleura (MTP), subtransverse process interligamentary plane (STIL), costotransverse foramen plane (CTF), and the multiple injection costotransverse (MIC) blocks achieved weak or no consensus on naming (51%, 18%, 25%, and 26%, respectively). [28][29][30][31] Comments suggested that they all carried similarities in terms of the anatomical location of injection, and it was therefore proposed that they be harmonized into a single new name, the intertransverse process (ITP) block, for consideration in the second round. The rhomboid intercostal subserratus block had no consensus (46%) and it was suggested that this was better presented as a single-injection approach, with the name reflecting this.…”

Section: First Roundmentioning

confidence: 99%

Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks

El‐Boghdadly

Wolmarans

Stengel³

et al. 2021

Reg Anesth Pain Med

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168

117

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BackgroundThere is heterogeneity in the names and anatomical descriptions of regional anesthetic techniques. This may have adverse consequences on education, research, and implementation into clinical practice. We aimed to produce standardized nomenclature for abdominal wall, paraspinal, and chest wall regional anesthetic techniques.MethodsWe conducted an international consensus study involving experts using a three-round Delphi method to produce a list of names and corresponding descriptions of anatomical targets. After long-list formulation by a Steering Committee, the first and second rounds involved anonymous electronic voting and commenting, with the third round involving a virtual round table discussion aiming to achieve consensus on items that had yet to achieve it. Novel names were presented where required for anatomical clarity and harmonization. Strong consensus was defined as ≥75% agreement and weak consensus as 50% to 74% agreement.ResultsSixty expert Collaborators participated in this study. After three rounds and clarification, harmonization, and introduction of novel nomenclature, strong consensus was achieved for the names of 16 block names and weak consensus for four names. For anatomical descriptions, strong consensus was achieved for 19 blocks and weak consensus was achieved for one approach. Several areas requiring further research were identified.ConclusionsHarmonization and standardization of nomenclature may improve education, research, and ultimately patient care. We present the first international consensus on nomenclature and anatomical descriptions of blocks of the abdominal wall, chest wall, and paraspinal blocks. We recommend using the consensus results in academic and clinical practice.

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Section: First Roundmentioning

confidence: 99%

Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks

El‐Boghdadly

Wolmarans

Stengel³

et al. 2021

Reg Anesth Pain Med

Self Cite

168

117

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“…Conceptually, it is midway between an ESP block and a true thoracic paravertebral block in terms of needle‐tip location. Since its description, there have been several publications of identical block techniques with different names, including: the multiple‐injection costotransverse block [99]; the costotransverse notch (or foramen) block [100]; and the subtransverse process interligamentary plane block [101] (Table 1). Some of these have been characterised as variants of the ESP block, but they all involve injection into the intertransverse tissue complex [13], with minor differences in described landmarks for block performance.…”

Section: Clinical Applicationmentioning

confidence: 99%

Ultrasound‐guided fascial plane blocks of the chest wall: a state‐of‐the‐art review

2021

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Summary Ultrasound‐guided fascial plane blocks of the chest wall are increasingly popular alternatives to established techniques such as thoracic epidural or paravertebral blockade, as they are simple to perform and have an appealing safety profile. Many different techniques have been described, which can be broadly categorised into anteromedial, anterolateral and posterior chest wall blocks. Understanding the relevant clinical anatomy is critical not only for block performance, but also to match block techniques appropriately with surgical procedures. The sensory innervation of tissues deep to the skin (e.g. muscles, ligaments and bone) can be overlooked, but is often a significant source of pain. The primary mechanism of action for these blocks is a conduction blockade of sensory afferents travelling in the targeted fascial planes, as well as of peripheral nociceptors in the surrounding tissues. A systemic action of absorbed local anaesthetic is plausible but unlikely to be a major contributor. The current evidence for their clinical applications indicates that certain chest wall techniques provide significant benefit in breast and thoracic surgery, similar to that provided by thoracic paravertebral blockade. Their role in trauma and cardiac surgery is evolving and holds great potential. Further avenues of research into these versatile techniques include: optimal local anaesthetic dosing strategies; high‐quality randomised controlled trials focusing on patient‐centred outcomes beyond acute pain; and comparative studies to determine which of the myriad blocks currently on offer should be core competencies in anaesthetic practice.

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“…Indeed the injection of anesthetic between ITL and SCTL has been described by some papers, and I have already commented on the opportunity to label it with a specific name (as Kilicaslan e t al. did in their paper) as subtransverse process interligamentary (STIL) plane block 2–4…”

mentioning

confidence: 99%

Superior costotransverse ligament: a new target for fascial plane blocks

Piraccini¹,

Byrne²,

Taddei³

2020

Reg Anesth Pain Med

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A novel ultrasound-guided technique in peri-paravertebral area: Subtransverse process interligamentary (STIL) plane block: The game has not ended yet

Cited by 26 publications

References 5 publications

Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks

Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks

Ultrasound‐guided fascial plane blocks of the chest wall: a state‐of‐the‐art review

Superior costotransverse ligament: a new target for fascial plane blocks

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