Ultrasound-Guided Peripheral Nerve Blocks: A Practical Review for Acute Cancer-Related Pain

Hao, David; Fiore, Michael P; Capua, Christopher Di; Gulati, Amitabh

doi:10.1007/s11916-022-01089-9

Cited by 4 publications

(1 citation statement)

References 66 publications

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“…Intraoperative stimulation and inflammatory reactions can sensitise pain receptors in the spinal cord and brain, sensitising patients to postoperative pain and increasing the risk of PND 6 7. With enhanced recovery after surgery and the continuous advancement of ultrasound technology, ultrasound-guided nerve blocks are widely used in perioperative analgesic management 8 9 10. Blanco et al 11 proposed ultrasound-guided serratus anterior plane block (SAPB), wherein, local anaesthetic is injected into the serratus anterior space, primarily blocking the lateral cutaneous branch of the intercostal nerve and the thoracic length.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided serratus anterior plane block to prevent neurocognitive impairment in elderly patients after thoracoscopic lobectomy: protocol for a single-centre, double-blind, randomised controlled trial

Wang,

Feng,

Liu

et al. 2023

BMJ Open

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IntroductionPostoperative neurocognitive dysfunction (PND), including postoperative delirium (POD), is a common complication in elderly patients after major surgeries, often leading to poor postoperative recovery. Although the pathological mechanism underlying PND is still unclear, postoperative pain is strongly associated with the development of PND. The ultrasound-guided serratus anterior plane block (SAPB) has been reported to relieve postoperative pain in thoracic surgery. Therefore, this prospective trial hypothesises that SAPB may reduce the incidence of PND in the elderly undergoing thoracoscopic lobectomy.Methods and analysisThis study is designed as a single-centre, double-blind, randomised controlled clinical trial. A total of 256 elderly patients scheduled to undergo thoracoscopic lobectomy at Shanghai Pulmonary Hospital will be randomly assigned to general anaesthesia group or SAPB group. The primary outcome is the incidence of PND 7 days postoperatively or before discharge from hospital. The secondary outcomes include the occurrence of POD, the postoperative pain scores, Quality of Recovery at 1–2 days postoperatively and incidence of PND at 3 months postoperatively. The levels of fasting blood glucose in peripheral blood will be examined before and 1–2 days postoperatively.Ethics and disseminationThe trial has been approved by the Clinical Research Ethics Committee of Shanghai Pulmonary Hospital (identifier: K20-290). All participants will be required to provide written informed consent before any protocol-specific procedures. Findings will be disseminated in a peer-reviewed journal and in national and/or international meetings to guide future practice.Trial registration numberChiCTR2100052633.

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Section: Introductionmentioning

confidence: 99%

Ultrasound-guided serratus anterior plane block to prevent neurocognitive impairment in elderly patients after thoracoscopic lobectomy: protocol for a single-centre, double-blind, randomised controlled trial

Wang,

Feng,

Liu

et al. 2023

BMJ Open

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The use of interventional procedures for cancer pain. A brief review

Lee,

Brake,

Zhao

et al. 2024

Support Care Cancer

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Context Pain is a common experience in people living with cancer. Concerns around opioid prescribing have seen a move toward a multi-modality management approach, which includes interventional pain procedures. Purpose In this paper we discuss the interventional pain procedures used to treat cancer pain at two major tertiary centers in Australia. Methods and results This expert review provides practical insights on cancer pain management from healthcare providers in different specialties. These insights can be used to guide the management of a wide range of cancer pain types. Conclusions Furthermore, this review identifies the need for a systematic and comprehensive approach to the management of cancer pain that is broader than that of a single specialty. With recent advances in pain management procedures, an interdisciplinary approach is essential in order to provide an up to date, patient tailored approach to pain management. This review will help inform the development of a cancer pain intervention registry.

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Palliation of Intractable Cancer-Related Pain With Low-Dose Epidural Bupivacaine

Winters,

Byrne,

Eckholm

et al. 2024

Journal of Palliative Medicine

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Ultrasound-Guided Peripheral Nerve Blocks: A Practical Review for Acute Cancer-Related Pain

Cited by 4 publications

References 66 publications

Ultrasound-guided serratus anterior plane block to prevent neurocognitive impairment in elderly patients after thoracoscopic lobectomy: protocol for a single-centre, double-blind, randomised controlled trial

Ultrasound-guided serratus anterior plane block to prevent neurocognitive impairment in elderly patients after thoracoscopic lobectomy: protocol for a single-centre, double-blind, randomised controlled trial

The use of interventional procedures for cancer pain. A brief review

Palliation of Intractable Cancer-Related Pain With Low-Dose Epidural Bupivacaine

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