Superior costotransverse ligament: a new target for fascial plane blocks

Piraccini, Emanuele; Byrne, Helen; Taddei, Stefania

doi:10.1136/rapm-2020-101315

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…Additionally, it is hypothesised that the STIL plane block can effectively provide pain relief by blocking both dorsal and ventral rami of the spinal nerves 11. Its close anatomical proximity to the paravertebral space may also facilitate a more straightforward dispersion of local anaesthetics, theoretically achieving a similar effect as TPVB 10 11. Taking into account these factors, along with the reduced trauma associated with uniportal VATS,32 33 which avoids rib spreading, we have designed a randomised controlled study to investigate whether the STIL plane block can provide pain relief non-inferior to TPVB in uniportal VATS.…”

Section: Discussionmentioning

confidence: 99%

“…STIL plane block specifically targets the region adjacent to the paravertebral space, rather than directly penetrating it, which theoretically diminishes the potential risks of inadvertent pneumothorax and hematoma compared with TPVB 9. Additionally, due to its close anatomical proximity to the paravertebral space, the STIL plane block may facilitate a more straightforward dispersion of local anaesthetics into this area 10. Research has also confirmed that the block achieved with STIL plane block is effective in providing adequate pain relief for breast surgeries 11.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of ultrasound-guided subtransverse process interligamentary plane block with paravertebral block for postoperative analgesia in thoracic surgery: protocol for a randomised non-inferiority trial

Wu,

Wang,

Liu

et al. 2024

BMJ Open

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IntroductionThe subtransverse process interligamentary (STIL) plane block is an emerging interfascial plane block that has garnered attention for its potential to provide effective postoperative analgesia for breast and thoracic surgeries. However, a direct comparative assessment between the STIL plane block and the paravertebral block is currently lacking. Consequently, our study aims to assess the analgesic efficacy of the STIL block in comparison to paravertebral block for patients undergoing video-assisted thoracoscopic surgery (VATS).Methods and analysisThis study is a randomised, parallel-controlled, double-blind, non-inferiority trial, with the goal of enrolling 114 participants scheduled for uniportal VATS at Shanghai Pulmonary Hospital. Participants will be randomly assigned in a 1:1 ratio through block randomisation to receive either the STIL plane block (n=57) or the paravertebral block (n=57). The primary outcome of the study is the area under the curve of Numerical Rating Scale(NRS) scores recorded over a 48-hour period following the surgical procedure. Secondary outcomes encompass the evaluation of Quality of Recovery-40, cumulative sufentanil consumption, serum inflammatory factors, rescue medication usage, the incidence of adverse events and the patient satisfaction scores.Ethics and disseminationThis study has received approval from the Medical Ethics Committee of Shanghai Pulmonary Hospital (approval no. L22-329). Written informed consent will be obtained from all participants. The findings will be submitted for publication in peer-reviewed journals.Trial registration numberChiCTR2200066909.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of ultrasound-guided subtransverse process interligamentary plane block with paravertebral block for postoperative analgesia in thoracic surgery: protocol for a randomised non-inferiority trial

Wu,

Wang,

Liu

et al. 2024

BMJ Open

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“…We would like to thank Piraccini et al very much for their opinions on our article 1. They argue that the superior costotransverse ligament (SCTL) plays a key role in the success of the block.…”

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confidence: 95%