Transversus Abdominis Plane Block and Treatment of Viscerosomatic Abdominal Pain

Smith, Deborah Deutsch; Hawson, Alexander; Correll, Lynnie

doi:10.1097/aap.0000000000000321

Cited by 10 publications

(4 citation statements)

References 3 publications

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“…Various studies have shown the prevalence of osteopathic findings and their relation to disease pathologies [13,17-18]. For example, Chapman’s points for the lung, which are located on the third and fourth intercostal space, were found 3.9 times more in patients with pneumonia than in the general population [19].…”

Section: Discussionmentioning

confidence: 99%

Osteopathic Physical Exam Findings in Chronic Hepatitis C: A Case Study

Chin

Francis

Lavalliere

et al. 2019

Cureus

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Greater than two-thirds of all Hepatitis C virus (HCV) infections are chronic, leading to extrahepatic changes in the body. The objective of this article was to describe various musculoskeletal findings that can be elicited during an osteopathic structural exam in the setting of liver dysfunction along with an overview of hepatic viscerosomatics and Chapman’s points. Osteopathic medicine is a branch of modern medicine that utilizes hands-on diagnosis and treatment through musculoskeletal manifestations in addition to the standard allopathic practices. Herein, we presented a case of untreated chronic HCV infection, complicated by polysubstance abuse, with positive findings on osteopathic physical exam consistent with hepatic pathology.

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Section: Discussionmentioning

confidence: 99%

Osteopathic Physical Exam Findings in Chronic Hepatitis C: A Case Study

Chin

Francis

Lavalliere

et al. 2019

Cureus

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“…Landy et al reported a case of opioid-resistant acute pancreatitis with successful pain management achieved through bilateral TAP blocks [134]. Smith et al also reported numerous cases where the TAP block served benefit in the management of pain associated with pancreatitis [135]. Interestingly, the TAP block itself is typically associated with a higher degree of somatic analgesia, and significant visceral coverage would be unexpected [136].…”

Section: Lidocainementioning

confidence: 99%

Comprehensive Review of Acute Pancreatitis Pain Syndrome

Beiriger

Khan

Yan

et al. 2023

Gastrointestinal Disorders

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Pancreatitis is a condition that causes inflammation in the pancreas, an organ located behind the stomach. This condition often presents as neuropathic, inflammatory, and/or visceral pain. Acute pancreatitis is typically characterized by sudden and severe abdominal pain, often in the upper right part of the abdomen. The pain from pancreatitis can be caused by different mechanisms, such as abnormal activation of pancreatic zymogens or NF-κB mediated inflammation in the pancreas. The treatment of pancreatitis depends on its type, severity, and underlying cause. Hospitalization and medications are typically necessary, while in others, surgery may be required. Proper management of pancreatitis is essential, as it can help reduce the risk of complications and improve the patient’s quality of life. The literature on pancreatitis pain management evaluates systematic approaches and the effectiveness of various treatments, such as lidocaine, opioid agonists, ketamine, magnesium, endoscopic methods, spinal cord stimulation, and other novel treatments present opportunities for exploration in pancreatitis pain management.

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“…Open midline approach OHE is presumed to trigger two types of pain, each one with different origins: visceral peritoneal and somatosensory pain [2][3][4][5]. Visceral peritoneal pain is the main source of nociceptive stimulation during the intraoperative period and reaches its peak during traction and ligation of the ovarian pedicles and uterus, thought to be the maximum surgical stimulus [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Antinociceptive Effect of a Sacro-Coccygeal Epidural of Morphine and Lidocaine in Cats Undergoing Ovariohysterectomy

Dourado

Gomes

Teixeira

et al. 2022

Veterinary Sciences

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Background: A commonly described analgesic protocol for ovariohysterectomy (OHE) combines systemic opioids, sedatives, and non-steroidal anti-inflammatory drugs. However, systemic analgesia does not fully prevent perioperative visceral and somatic pain triggered by the surgical stimulus. Objectives: To compare the analgesic effects and quality of recovery of systemic analgesia with those of a sacrococcygeal epidural injection of lidocaine and morphine in cats undergoing elective OHE. Methods: Twenty domestic female cats were premedicated with dexmedetomidine (0.01 mg kg−1 IM) and alfaxalone (1.5 mg kg−1 IM) and randomly assigned to one of two analgesic protocols: methadone (0.2 mg kg−1 IM) in the control group CTR (n = 10) and methadone (0.1 mg kg−1 IM) + epidural (lidocaine 2% (0.3 mL kg−1) + morphine 1% (0.1 mg kg−1) diluted with NaCl 0.9% to a total volume of 1.5 mL in the SCC-E group (n = 10). General anaesthesia was induced with alfaxalone (1 mg kg−1 IV) and maintained with sevoflurane in 100% oxygen. Non-invasive blood arterial pressure and cardiorespiratory variables were recorded. The quality of recovery was assessed using a simple descriptive scale. Before surgery and 1, 2, 3, 4, 6, and 8 h post-op pain was assessed using the UNESP-Botucatu multidimensional composite pain scale (MCPS) and mechanical nociception thresholds (MNT). The repeated measures analysis of variance (ANOVA) was used to compare groups over time. Comparison between groups was performed using independent samples t-test if the assumption of normality was verified, or the Mann–Whitney test. The chi-square test of independence and exact Fisher’s test were used to compare groups according to recovery quality. Results: Heart rate and systolic arterial pressure increased significantly from baseline values in the CTR group and did not change in the SCC-E group. In the CTR group, MNT and UNESP-Botucatu-MCPS scores increased significantly from baseline for all assessment points and the first 3 h, respectively, whereas this did not occur in the SCC-E group. Conclusions and clinical relevance: Based on our results, the SCC-E administration of lidocaine 2% with morphine 1% is a reasonable option to provide perioperative analgesia in cats submitted to OHE, compared to a systemic protocol alone.

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Transversus Abdominis Plane Block and Treatment of Viscerosomatic Abdominal Pain

Cited by 10 publications

References 3 publications

Osteopathic Physical Exam Findings in Chronic Hepatitis C: A Case Study

Osteopathic Physical Exam Findings in Chronic Hepatitis C: A Case Study

Comprehensive Review of Acute Pancreatitis Pain Syndrome

Antinociceptive Effect of a Sacro-Coccygeal Epidural of Morphine and Lidocaine in Cats Undergoing Ovariohysterectomy

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