• Masui · Aug 2010

    Case Reports

    [Ultrasound-guided rectus sheath block for upper abdominal surgery].

    • Yoshimune Osaka, Masanori Kashiwagi, Yukio Nagatsuka, Masayoshi Oosaku, and Chikako Hirose.
    • Department of Anesthesiology, Kitasato Institute Hospital, Kitasato University, Tokyo 108-8642.
    • Masui. 2010 Aug 1;59(8):1039-41.

    AbstractUpper abdominal surgery leads to severe postoperative pain. Insufficient postoperative analgesia accompanies a high incidence of complications. Therefore, postoperative analgesia is very important. The epidural analgesia has many advantages. However it has a high risk of epidural hematoma in anticoagulated patients. Rectus sheath block provided safer and more reliable analgesia in recent years, by the development of ultrasound tools. We experienced two cases of the rectus sheath block in upper abdominal surgery under ultrasound guidance. Ultrasound guided rectus sheath block can reduce the risk of peritoneal puncture, bleeding, and other complications. Rectus sheath block is very effective to reduce postoperative pain in upper abdominal surgery as an alternative method to epidural anesthesia in anticoagulated patients.

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