Reply to Drs Hamilton and Manickam

Wang, Quanguang; Zhang, Xuezheng; Papadimos, Thomas J.; Xu, Xuzhong

doi:10.1097/aap.0000000000000859

Cited by 5 publications

(5 citation statements)

References 4 publications

(1 reference statement)

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“…7 In 2019, they concluded that injection deep into the EOM was superior in a cadaveric dye study. 8,9 In 2021, Elsharkawy et al, introduced a new block external oblique intercostal plane block (EOIB) as the rhomboid intercostal and rhomboid intercostal sub-serratus blocks failed to cover anterior cutaneous branches. 1 EOIB has many advantages such as easy sonoanatomy, superficial location at a compressible site, easily performed in obese patients, needle insertion site is away from the surgical site, can be performed in the supine position, no anticoagulation concern, technical simplicity, and ease of catheter placement.…”

Section: Discussionmentioning

confidence: 99%

External oblique intercostal block in open nephrectomy patients - A zenith in analgesia for anterolateral upper abdominal surgeries: A case series

Priyanka Bansal,

Nidhi Sultania,

Tarun Mittal

2024

Asian J Med Sci

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Open nephrectomy is a common surgery usually performed for malignant and non-malignant renal pathologies. The external oblique intercostal block (EOIB) blocks the anterior and lateral cutaneous nerves from T6 to T10 and provides somatic analgesia. We present a case series of the use of EOIB in patients undergoing open nephrectomy by subcostal incision. Ten patients were given EOIB, which included patients undergoing simple nephrectomy for non-functioning kidneys and radical nephrectomy for renal mass. The patients had satisfactory numerical rating scale scores, mostly <4 for 24 h. Post-operative opioid consumption was minimal. The external oblique fascial plain block is a novel thoracic block that provides reliable upper thoracoabdominal somatic analgesia. It can certainly be considered a suitable option in surgeries such as nephrectomies that involve an upper lateral abdominal wall incision.

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Section: Discussionmentioning

confidence: 99%

External oblique intercostal block in open nephrectomy patients - A zenith in analgesia for anterolateral upper abdominal surgeries: A case series

Priyanka Bansal,

Nidhi Sultania,

Tarun Mittal

2024

Asian J Med Sci

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“…We are most grateful to Dr Wang and colleagues for sharing preliminary clinical confirmation of our theoretical premise 2. We have recently studied the spread of dye following injection in the thoracic fascial planes both deep and superficial to the external oblique muscle in a fresh frozen cadaver.…”

mentioning

confidence: 94%

“…It is possible that the approach described by Wang et al 2 would be suitable for upper abdominal wall analgesia. However, recent cadaveric and clinical studies on the serratus plane block have demonstrated inconsistent blockade of lateral cutaneous branches of the thoracoabdominal nerves below the T7 level, even with the use of high volumes (40 mL) of local anesthetic 3.…”

mentioning

confidence: 99%

External oblique fascial plane block

Hamilton

Manickam

Wilson

et al. 2019

Reg Anesth Pain Med

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“…to one which we had already published in 2015 for open cholecystectomy 2. As such, we were surprised to not find reference to our work in their bibliography 1. If one would search in PubMed with these keywords: intercostal nerves block and ultrasound-guided , they would find our article in that year.…”

mentioning

confidence: 97%

“…We have very carefully read the letter from Dr Wang1 et al, and we have noted that the suggestion of their novel thoracic block approach for abdominal analgesia is extremely similar (identical?) to one which we had already published in 2015 for open cholecystectomy 2.…”

mentioning

confidence: 99%