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| http://dx.doi.org/10.4103/sja.sja_688_23 | DOI Listing |
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Intertransverse process block (ITPB) at the retro-superior costotransverse ligament (retro-SCTL) space: Evaluation of local anesthetic spread using MRI and sensory blockade in healthy volunteers.
J Clin Anesth
February 2025
Department of Anesthesia and Intensive Care, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China. Electronic address:
Background: This study evaluated the spread of a local anesthetic, using MRI and sensory blockade, after an intertransverse process block (ITPB) at the medial aspect of the retro-superior costotransverse ligament (retro-SCTL) space - the medial retro-SCTL space block.
Methods: Ten healthy volunteers received a single-injection ultrasound-guided medial retro-SCTL space block at the T4-T5 level using a mixture of 10 ml 0.5 % bupivacaine with 0.
Prone ventilation and pressure ulcers.
Asian J Surg
September 2024
Department of Anesthesiology, First People's Hospital, Zigong, Sichuan, China.
Radiofrequency Ablation of the Costotransverse Joint in a Case of Chronic Thoracic Back Pain.
Cureus
July 2024
Department of Anesthesiology/Comprehensive Pain and Spine Medicine, Wake Forest University School of Medicine, Winston-Salem, USA.
The source of thoracic back pain is often challenging to diagnose and manage, as there exist multiple potential etiologies and treatment strategies. Costotransverse joints are small synovial joints that may be prevalent and overlooked pain generators in the thoracic spine. Intra-articular steroid injections are commonly utilized as non-surgical therapeutic interventions for costotransverse joint pain; however, they have variable efficacy.
View Article and Find Full Text PDFRetro superior costotransverse ligament space block as an effective analgesia after laparoscopic gastrectomy -a case report.
Korean J Anesthesiol
August 2024
Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea.
Background: The retro superior costotransverse ligament space (RSS) block, reported as a novel target in paraspinal block, involves the spreading of local anesthetics into the thoracic paravertebral space through slits around the superior costotransverse ligament . This blocks not only the dorsal rami but also the ventral rami, achieving a reliable complete sensory blockade.
Case: We performed an RSS block at the T5, T7, and T9 levels on both sides for postoperative analgesia in two patients who underwent laparoscopic gastrectomy.
Comment on "Retro superior costotransverse ligament space block as an effective analgesia after laparoscopic gastrectomy".
Korean J Anesthesiol
October 2024
Department of Anesthesiology, Sree Balaji Medical College & Hospital, Bharath Institute of Higher Education and Research, Chennai, India.
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