Revista espanola de anestesiologia y reanimacion · 2026
External oblique intercostal plane block in open hepatobiliary surgery: A case series.
СтатьяНаблюдательное исследованиеКлинический случайНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Garicano Goldaraz C, Gómez de la Lastra L, Amelburu Egoscozábal M, Yarnoz C, Oliver Juan G, González Jorrín N, Abad-Motos A
Аннотация
BACKGROUND AND OBJECTIVE: Analgesic management in subcostal laparotomy is a challenge, and has a direct impact on recovery and outcomes. The external oblique intercostal (EOI) block anaesthetises the anterior and lateral cutaneous branches of the ventral rami of the intercostal nerves, and both the puncture site and the local anaesthetic target are located outside the surgical field, blocking the anterior and lateral cutaneous branches of the ventral rami of the intercostal nerves.
MATERIALS AND METHODS: Observational, retrospective, single-centre study. Patients scheduled for open hepatobiliary surgery under general anaesthesia and intrathecal morphine were included. EOI block was performed before the incision as part of a multimodal analgesia strategy. After anaesthesia induction, with the patient supine, a 12-15 MHz linear transducer was placed over the sixth rib and an 80 mm needle was used to administer 20 ml of 0.25 % levobupivacaine on each side in the case of bilateral incisions or on one side in the case of unilateral incisions.
RESULTS: Fifteen patients scheduled for open hepatectomy, pancreaticoduodenectomy, and open cholecystectomy were included. Pain rated on the visual numerical scale was 0 (0-0) out of a possible 5 (0-5) points on postoperative day 1. Twelve patients (80%) were able to move to a chair on postoperative day 1. Six (40%) required rescue morphine in the first 24 postoperative hours. The average dose administered was 1.4 mg (±2).
CONCLUSIONS: Single-shot EOI block is an effective, safe, and easily reproducible technique in a multimodal analgesic approach to major abdominal surgery.
MATERIALS AND METHODS: Observational, retrospective, single-centre study. Patients scheduled for open hepatobiliary surgery under general anaesthesia and intrathecal morphine were included. EOI block was performed before the incision as part of a multimodal analgesia strategy. After anaesthesia induction, with the patient supine, a 12-15 MHz linear transducer was placed over the sixth rib and an 80 mm needle was used to administer 20 ml of 0.25 % levobupivacaine on each side in the case of bilateral incisions or on one side in the case of unilateral incisions.
RESULTS: Fifteen patients scheduled for open hepatectomy, pancreaticoduodenectomy, and open cholecystectomy were included. Pain rated on the visual numerical scale was 0 (0-0) out of a possible 5 (0-5) points on postoperative day 1. Twelve patients (80%) were able to move to a chair on postoperative day 1. Six (40%) required rescue morphine in the first 24 postoperative hours. The average dose administered was 1.4 mg (±2).
CONCLUSIONS: Single-shot EOI block is an effective, safe, and easily reproducible technique in a multimodal analgesic approach to major abdominal surgery.