Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2020.10.019
Brazilian Journal of Anesthesiology
Short Communication

Anterior scalene plane block at the superior trunk level relieves referred shoulder pain after liver radiofrequency ablation: a technical report

O bloqueio do plano escaleno anterior no nível superior do tronco alivia a dor referida no ombro após a ablação por radiofrequência do fígado: um relatório técnico

Yin-Tzu Liu, Sheng-Wei Cheng, Jin-De Hou, Hsun-Chung Tsuo, Jui-An Lin

Downloads: 0
Views: 125

Abstract

We report the first case of using an anterior scalene plane block at the superior trunk level achieving phrenic nerve blockade to treat intolerable referred shoulder pain after liver Radiofrequency Ablation (RFA) of a diaphragm-abutting liver tumor despite prevention with a full-dose non-steroidal anti-inflammatory drug. The anterior scalene plane block rapidly alleviated pain without any associated complications.

Keywords

Nerve block;  Phrenic nerve;  Pain, referred: shoulder;  Liver neoplasms;  Radiofrequency ablation

Resumo

Nós relatamos o primeiro caso de uso de um bloqueio de plano escaleno anterior no nível do tronco superior alcançando bloqueio do nervo frênico para tratar dor no ombro referida intolerável após ablação por radiofrequência (ARF) de um tumor hepático adjacente ao diafragma, apesar da prevenção com uma dose completa anti-inflamatório esteroide. O bloqueio do plano escaleno anterior aliviou rapidamente a dor sem quaisquer complicações associadas.

Palavras-chave

Bloqueio nervoso. Nervo frênico. Dor referida: ombro. Neoplasias hepáticas. Remoção por radiofrequência.

References

1 H. Zhang, X. Liu, H. Jiang, Z. Liu, X.Y. Zhang, H.Z. Xie Parecoxib increases muscle pain threshold and relieves shoulder pain after gynecologic laparoscopy: a randomized controlled trial J Pain Res., 9 (2016), pp. 653-660

2 J.A. Lin, K.H. Lin, A.C. Hsu, Y.T. Tai Modified half-the-air technique for continuous pressure monitoring during lumbar plexus block Eur J Anaesthesiol., 35 (2018), pp. 803-805

3 J. Raft, K.J. Chin, P. Richebe Erector spinae plane (ESP) block with a transverse in-plane approach for management of referred shoulder pain after laparoscopic cholecystectomy J Clin Anesth., 55 (2019), pp. 100-101

4 J. Kessler, I. Schafhalter-Zoppoth, A.T. Gray An ultrasound study of the phrenic nerve in the posterior cervical triangle: implications for the interscalene brachial plexus block Reg Anesth Pain Med., 33 (2008), pp. 545-550

5 J. An, Y.W. Lee, W.Y. Park, et al. Variations in the distance between the cricoid cartilage and targets of stellate ganglion block in neutral and extended supine positions: an ultrasonographic evaluation J Anesth., 30 (2016), pp. 999-1002
 

6036d5f9a95395751d570775 rba Articles
Links & Downloads

Braz J Anesthesiol

Share this page
Page Sections