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Case Reports
Neurolytic transversus abdominis plane block in the palliative treatment of intractable abdominal wall pain.
- Bryan Sakamoto, Sanjay Kuber, Kenneth Gwirtz, Ahmed Elsahy, and Michael Stennis.
- Department of Anesthesia, Indiana University School of Medicine, Indianapolis, IN 46202, USA. bryan.sakamoto@va.gov
- J Clin Anesth. 2012 Feb 1;24(1):58-61.
AbstractA 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.Published by Elsevier Inc.
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