Subcostal transversus abdominis plane phenol injection for abdominal wall cancer pain [documento electrónico] / Carlos Eduardo Restrepo Garcés, ; Carlos Mario Gómez Bermúdez, ; Santiago Jaramillo Escobar, ; Juan David Ramírez Quintero, ; Juan Felipe Vargas Silva,  . - 2014.
Obra : Pain Practice

Idioma : Inglés (eng)

Palabras clave :	Cancer pain  transversus abdominis plane block  TAP block  neurolytic block  phenol  ultrasound guidance
Resumen :	A subcostal transversus abdominis plane (TAP) phenol injection was performed on a patient with refractory cancer pain due a metastatic involvement of the abdominal wall. A diagnostic block with local anesthetic was performed under ultrasound guidance (USG), resulting in a decrease of 80% and 100% in dynamic and static visual analog scale (VAS) for pain, respectively, for 20 hours. A phenol injection was then performed under USG. The patient reported 70% and 100% reduction in the dynamic and static VAS for pain and had a 50% decrease in the opioid requirement that was maintained for 2 months. TAP blocks offer an interesting tool for either diagnosis or therapeutic purpose in chronic pain management. USG provides an optimal approach to softtissue lesions where fluoroscopy techniques are not useful.
Mención de responsabilidad :	Carlos Eduardo Restrepo-Garces, Juan Francisco Asenjo, Carlos Mario Gomez, Santiago Jaramillo, Nathalia Acosta, Lizeth Jazmin Ramirez, Luz Maria Lopera, Juan Felipe Vargas
Referencia :	Pain Pract. 2014 Mar;14(3):278-82.
DOI (Digital Object Identifier) :	10.1111/papr.12065
PMID :	23560547
En línea :	https://onlinelibrary.wiley.com/doi/abs/10.1111/papr.12065
Enlace permanente :	https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3762