Randomized Double-Blind Clinical Trial of Celiac Plexus Block for Percutaneous Biliary Drainage

Savader, Scott J.; Bourke, Denis L.; Venbrux, Anthony C.; Trerotola, Scott O.; Grass, Jeffrey A.; Lund, Gunnar B.; Gittelsohn, Alan P.; Osterman, Floyd A.

doi:10.1016/s1051-0443(93)71917-x

Cited by 13 publications

(1 citation statement)

References 18 publications

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“…42 This may not be applicable to all liver procedures as one randomized double-blind clinical trial did not find significant pain relief in patients undergoing percutaneous biliary drainage. 43…”

Section: Introductionmentioning

confidence: 99%

Nerve Block Options for Pain Control during Hepatic and Upper Abdominal Minimally Invasive Procedures

Boucher

Benz

Pierotty

et al. 2020

Digestive Disease Interventions

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Availability of minimally invasive abdominal procedures can be restricted in cases of painful procedures, due to limited access to anesthesia support or the more recent avoidance of aerosol generating medical procedures such as intubation. Intravenous sedation, in many cases is insufficient to effectively control the pain, leaving patients to suffer undue discomfort and a medical team stressed by the situation. Regional nerve blocks can offer a solution but are underutilized, likely in large part due to a lack of knowledge of available options.This manuscript describes four different nerve blocks that can be useful for analgesia related to upper abdominal procedures. Available data are reviewed regarding their effectiveness and the technique used to perform them is described. Information provided aims to help decide which is likely to provide the best analgesia depending on the procedure being done. Increase use of these blocks has the potential to improve patient's accessibility to minimally invasive upper abdominal procedures.

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Section: Introductionmentioning

confidence: 99%

Nerve Block Options for Pain Control during Hepatic and Upper Abdominal Minimally Invasive Procedures

Boucher

Benz

Pierotty

et al. 2020

Digestive Disease Interventions

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show abstract

Management of Benign Biliary Strictures

Laasch

Martin

2002

CardioVascular and Interventional Radiology

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Benign biliary strictures are most commonly a consequence of injury at laparoscopic cholecystectomy or fibrosis after biliary-enteric anastomosis. These strictures are notoriously difficult to treat and traditionally are managed by resection and fashioning of a choledocho- or hepato-jejunostomy. Promising results are being achieved with newer minimally invasive techniques using endoscopic or percutaneous dilatation and/or stenting and these are likely to play an increasing role in the management. Even low-grade biliary obstruction carries the risks of stone formation, ascending cholangitis and hepatic cirrhosis and it is important to identify and treat this group of patients. There is currently no consensus on which patient should have what type of procedure, and the full range of techniques may not be available in all hospitals. Careful assessment of the risks and likely benefits have to be made on an individual basis. This article reviews the current literature and discusses the options available. The techniques of endoscopic and percutaneous dilatation and stenting are described with evaluation of the likely success and complication rates and compared to the gold standard of biliary-enteric anastomosis.

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Paravertebral Block: An Improved Method of Pain Control in Percutaneous Transhepatic Biliary Drainage

Culp

McCowan

DeValdenebro

et al. 2006

Cardiovasc Intervent Radiol

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Randomized Double-Blind Clinical Trial of Celiac Plexus Block for Percutaneous Biliary Drainage

Cited by 13 publications

References 18 publications

Nerve Block Options for Pain Control during Hepatic and Upper Abdominal Minimally Invasive Procedures

Nerve Block Options for Pain Control during Hepatic and Upper Abdominal Minimally Invasive Procedures

Management of Benign Biliary Strictures

Paravertebral Block: An Improved Method of Pain Control in Percutaneous Transhepatic Biliary Drainage

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