Serviços Personalizados
Journal
Artigo
Indicadores
Citado por SciELO
Acessos
Links relacionados
Citado por Google
Similares em SciELO
Similares em Google
Compartilhar
Colombian Journal of Anestesiology
versão impressa ISSN 0120-3347
Resumo
FERNANDEZ-MARTIN, María Teresa; LOPEZ-ALVAREZ, Servando e FAJARDO-LOPEZ, Mario. Interfascial intercostal nerves block: alternative to epidural analgesia in open gastrectomy? Report on 4 clinical cases. Rev. colomb. anestesiol. [online]. 2018, vol.46, n.3, pp.257-261. ISSN 0120-3347. https://doi.org/10.1097/cj9.0000000000000057.
The ultrasound-guided intercostal nerves (cutaneous branches) block in the mid-axillary line at the level of the 8th rib (modified BRILMA) is an analgesic technique described back in 2015. Four patients undergoing open gastrectomy (who are not candidates for epidural analgesia) are discussed. The patients underwent the above-mentioned bilateral block, with the administration of 15 mL of levobupivacaine 0.5% into the fascial plane, between the serratus anterior muscle and the external intercostal muscle, with the aim of blocking the intercostal nerves T6 to 11. Postoperative pain control was adequate, with low levels of opioids used. There were no complications associated with the technique.
Palavras-chave : Gastrectomy; Nerve Block; Analgesia; Epidural; Ultrasonography; Pain.