Ultrasonography-Guided Bilateral Rectus Sheath Block vs Local Anesthetic Infiltration After Pediatric Umbilical Hernia Repair

Dingeman, R. Scott; Barus, Lindsay M.; Chung, Hyun Kee; Clendenin, David; Lee, Christopher S.; Tracy, Sarah A.; Johnson, Victoria; Dennett, Kate V.; Zurakowski, David; Chen, Catherine

doi:10.1001/jamasurg.2013.1442

Cited by 61 publications

(71 citation statements)

References 26 publications

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“…1 Transversus abdominis plane block (TAPB) and rectus sheath block (RSB) are the 2 main types of abdominal wall truncal blocks that are suitable for this purpose. [2][3][4][5][6][7] Compared with epidural anesthesia, more local anesthetic is required for truncal abdominal blocks to be effective. To date, however, chronological changes in blood concentrations of local anesthetics have not been compared between TAPB and RSB.…”

mentioning

confidence: 99%

Chronological Changes in Ropivacaine Concentration and Analgesic Effects Between Transversus Abdominis Plane Block and Rectus Sheath Block

Murouchi

Iwasaki

Yamakage

2015

Regional Anesthesia and Pain Medicine

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mentioning

confidence: 99%

Chronological Changes in Ropivacaine Concentration and Analgesic Effects Between Transversus Abdominis Plane Block and Rectus Sheath Block

Murouchi

Iwasaki

Yamakage

2015

Regional Anesthesia and Pain Medicine

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“…Rectus sheath blocks provide analgesia of the periumbilical area by blocking neural transmission of the 9th, 10th, 11th, and 12th intercostal nerves that run between the rectus abdominis muscle and the posterior rectus sheath [7]. RCTs have shown rectus sheath blocks to provide superior post-operative analgesia when compared to local anesthetic infiltration of a surgical wound [9][10][11]. Combined TAP and rectus sheath blocks are an emerging regional anesthetic technique that is safe, effective, and useful adjunct as part of a multi-modal pain management strategy.…”

Section: Discussionmentioning

confidence: 99%

Enhanced Recovery Strategies in a Patient With Severe Pulmonary Hypertension

Desai

Raymond

Bick

et al. 2016

Journal of Cardiothoracic and Vascular Anesthesia

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“…Compared to placebo or local wound infiltration analgesia, the rectus sheath block results in lower pain scores with opioid-sparing effects in both children and adults receiving umbilical hernia repair [56,57,59]. Study reports have also demonstrated that this block provides effective pain control in surgeries involving midline incisions [60,61].…”

Section: Evidence and Clinical Applicationsmentioning

confidence: 99%

Ultrasound-guided truncal blocks for perioperative analgesia

Koh

Lee

2018

Anesth Pain Med

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Since the widespread introduction of ultrasound for assisting techniques used in anesthetic theatres, peripheral nerve blocks of the trunk have been used more frequently to produce analgesia and anesthesia for surgeries involving the thorax, abdomen, and lower extremities. The introduction of real-time ultrasound has allowed the peripheral nerves, planes, and plexuses of the trunk to be located more accurately and has improved the success rate of truncal blocks The widespread application of ultrasound in clinical anesthesiology has led to an increase in the number of practitioners performing peripheral nerve blocks of the trunk to produce analgesia and anesthesia for surgeries involving the thorax, abdomen, and lower extremities. The use of real-time ultrasound has allowed the peripheral nerves, planes, and plexuses of the trunk to be located more accurately and has improved the success rate of blocks. Compared to central neuraxial techniques, many types of truncal blocks are relatively easy to perform and have low side effect profiles. As a result, truncal blocks have been introduced to provide perioperative analgesia for surgeries involving the thorax and abdomen. The most frequently used truncal block techniques include the paravertebral block, intercostal block, pectoralis and serratus anterior block, rectus sheath block, transversus abdominis plane block, and ilioinguinal and iliohypogastric nerve blocks. Recently introduced techniques also include the quadratus lumborum and erector spinae plane blocks. To apply each block correctly and reduce the likelihood of related side effects and complications, the practitioner must have a thorough understanding of the anatomical region, optimal block positioning, and device selection and management.

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Ultrasonography-Guided Bilateral Rectus Sheath Block vs Local Anesthetic Infiltration After Pediatric Umbilical Hernia Repair

Abstract: clinicaltrials.gov Identifier: NCT01015053.

Cited by 61 publications

References 26 publications

Chronological Changes in Ropivacaine Concentration and Analgesic Effects Between Transversus Abdominis Plane Block and Rectus Sheath Block

Chronological Changes in Ropivacaine Concentration and Analgesic Effects Between Transversus Abdominis Plane Block and Rectus Sheath Block

Enhanced Recovery Strategies in a Patient With Severe Pulmonary Hypertension

Ultrasound-guided truncal blocks for perioperative analgesia

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