Neurolytic transversus abdominis plane block in the palliative treatment of intractable abdominal wall pain

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• 作者：Bryan Sakamoto ; MD ; PhD ; ^{bryan.sakamoto@va.gov} (Assistant Professor of Anesthesia) ; Sanjay Kuber ; MD (Assistant Professor of Anesthesia) ; Kenneth Gwirtz ; MD (Professor of Anesthesia) ; Ahmed Elsahy ; MD (Assistant Professor of Anesthesia) ; Michael Stennis ; MD (Assistant Professor of Anesthesia)
• 关键词：Cancer pain ; Neurolytic peripheral block ; Palliative treatment ; Transversus abdominis plane block
• 刊名：Journal of Clinical Anesthesia
• 出版年：2012
• 出版时间：February 2012
• 年：2012
• 卷：24
• 期：1
• 页码：58-61
• 全文大小：103 K

文摘

A 45 year old man with metastatic colon cancer presented with uncontrollable abdominal wall pain. Transversus abdominis plane (TAP) block with ropivacaine and methylprednisolone was performed with excellent pain relief, which allowed a significant weaning of the patient's opioid requirements. A second TAP block was performed with a 33 % ethanol solution (ethanol and ropivacaine) with excellent pain relief. The neurolytic block appeared to offer better pain control for more than 5 days after placement until the patient finally succumbed to his illness.