Appearance of Burning Abdominal Pain During Cesarean Section Under Spinal Anesthesia in a Patient with Complex Regional Pain Syndrome: A Case Report

Kato, Jitsu; Gokan, Dai; Hirose, Noriya; Iida, Ryoji; Suzuki, Takahiro; Ogawa, Setsuro

doi:10.1111/pme.12004

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…256,257 In 1 report, bilateral US-guided rectus sheath block at the level of the umbilicus was performed 3 days after surgery to relieve neuropathic incisional pain. 256 In another report, bilateral landmark-guided rectus sheath block was performed after midline incision cesarean delivery under general anesthesia. 257 Despite this, the patient continued to require large doses of opioids for analgesia.…”

Section: Rectus Sheath Block In Obstetric Patientsmentioning

confidence: 99%

Essentials of Our Current Understanding

Chin

McDonnell

Carvalho

et al. 2017

Regional Anesthesia and Pain Medicine

364

208

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Abdominal wall blocks rely on the spread of local anesthetic within musculofascial planes to anesthetize multiple small nerves or plexuses, rather than targeting specific nerve structures. Ultrasonography is primarily responsible for the widespread adoption of techniques including transversus abdominis plane and rectus sheath blocks, as well as the introduction of novel techniques such as quadratus lumborum and transversalis fascia blocks. These blocks are technically straightforward and relatively safe and reduce pain and opioid requirements in many clinical settings. The data supporting these outcomes, however, can be inconsistent because of heterogeneity of study design. The extent of sensory blockade is also somewhat variable, because it depends on the achieved spread of local anesthetic and the anatomical course of the nerves being targeted. The blocks mainly provide somatic analgesia and are best used as part of a multimodal analgesic regimen. This review summarizes the anatomical, sonographic, and technical aspects of the abdominal wall blocks in current use, examining the current evidence for the efficacy and safety of each.

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Section: Rectus Sheath Block In Obstetric Patientsmentioning

confidence: 99%