Ultrasound-guided Paravertebral Block for Management of Abdominal Pain after Transarterial Embolization Using Drug-eluting Beads Loaded with Irinotecan

Marqués, Alfonso; González-García, Raúl; Gómez, Fernando; Fiorentini, Giammaria

doi:10.1016/j.jvir.2013.04.033

Cited by 5 publications

(1 citation statement)

References 5 publications

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“…25 To overcome this, several protocols have been proposed to achieve appropriate pain control, including intravenous morphine and bolus lidocaine into the hepatic artery at the time of DEBIRI administration. 29 More recently, paravertebral thoracic blocks with ultrasound guidance at the T6-T8 levels has been proposed for periprocedure pain control with side effects seen in less than 1% of patients. 29…”

Section: Deb-tacementioning

confidence: 99%

Decision Making in Interventional Oncology: Intra-arterial Therapies for Metastatic Colorectal Cancer—Y90 and Chemoembolization

Fairchild

White

2017

Semin intervent Radiol

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Colorectal cancer is the third most common cancer in the United States and the liver is the most common site of metastatic disease. The presence and extent of hepatic metastases are a major prognostic indicator. Although surgical resection is the accepted first-line therapy for colorectal liver metastasis, only 20 to 25% of patients are eligible for resection due to the extent and location of disease. This article discusses the current role of transarterial therapies in the treatment of colorectal liver metastases.

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Section: Deb-tacementioning

confidence: 99%

Decision Making in Interventional Oncology: Intra-arterial Therapies for Metastatic Colorectal Cancer—Y90 and Chemoembolization

Fairchild

White

2017

Semin intervent Radiol

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Transarterial Treatment of Colorectal Cancer Liver Metastases with Irinotecan-Loaded Drug-Eluting Beads: Technical Recommendations

Lencioni

Aliberti

Baère

et al. 2014

Journal of Vascular and Interventional Radiology

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Bilateral thoracic Paravertebral block for immediate postoperative pain relief in the PACU: a prospective, observational study

2017

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BackgroundTo investigate the feasibility, effectiveness and safety of bilateral thoracic paravertebral block (TPVB) in the post anesthesia care unit (PACU) for pain relief in participants after laparotomy.MethodsA single shot of bilateral TPVB with 25 ml of 0.2% ropivacaine and 5 mg dexamethasone in combination for both sides at the 8th thoracic transverse level (T8) was performed on 201 participants who complained moderate to severe pain on arrival to PACU after laparotomy. The visual analog scale (VAS) pain scores at rest and on cough, heart rate, blood pressure, and pulse oximetry before and after bilateral TPVB for up to 1 h were recorded. The VAS Pain scores at rest and on cough at 24 h after bilateral TPVB were also recorded.ResultsBilateral TPVB was carried out successfully in all participants. The VAS pain scores at rest and on cough were 7.9 ± 1.6 and 8.7 ± 1.3 respectively pre-bilateral TPVB. The VAS pain scores at rest and on cough were significantly decreased to 1.1 ± 1.2 and 2.1 ± 1.6 respectively (P < 0.001) at 60 min after bilateral TPVB and to 2.1 ± 1.7 and 3.8 ± 1.9 at rest and on cough respectively ((P < 0.001) at 24 h after bilateral TPVB. At 10 min post-bilateral TPVB, only systolic blood pressure was reduced from 122 ± 19 mmHg to 111 ± 18 mmHg (P = 0.007) but then gradually became stable. No complications related to bilateral TPVB were observed.ConclusionBilateral TPVB can be provided for pain relief to the participants who suffer from moderate to severe pain after upper laparotomy in the PACU.Trial registrationChinese Clinical Trial Registry: ChiCTR-ONN-16009229, Registered on 10 September 2016.

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Ultrasound-guided Paravertebral Block for Management of Abdominal Pain after Transarterial Embolization Using Drug-eluting Beads Loaded with Irinotecan

Cited by 5 publications

References 5 publications

Decision Making in Interventional Oncology: Intra-arterial Therapies for Metastatic Colorectal Cancer—Y90 and Chemoembolization

Decision Making in Interventional Oncology: Intra-arterial Therapies for Metastatic Colorectal Cancer—Y90 and Chemoembolization

Transarterial Treatment of Colorectal Cancer Liver Metastases with Irinotecan-Loaded Drug-Eluting Beads: Technical Recommendations

Bilateral thoracic Paravertebral block for immediate postoperative pain relief in the PACU: a prospective, observational study

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