open access

Vol 10, No 2 (2016)
Case report
Published online: 2016-11-29
Get Citation

An application of regional nerve blocks in the treatment of pain in palliative care patients

Elwira Góraj
Medycyna Paliatywna w Praktyce 2016;10(2):66-74.

open access

Vol 10, No 2 (2016)
Case report
Published online: 2016-11-29

Abstract

The effective pain treatment sometimes requires to apply the combination of various techniques. Interventional methods, particularly relatively easy to perform regional blocks, may be helpful in treatment of intractable pain as well as applied in patients who prefer reduction of drug consumption. The reasons for such choice tend to be unpleasant adverse effects of medications or polypharmacy due to treatment of co-existing diseases. Interventional methods are used concurrently with rehabilitation, physiotherapy, lymphatic massage, transdermal, electric nerve stimulation and pharmacology treatment. Regional nerve blocks may be used not only as part of therapy but also as a type of anesthesia without the need of inducing sedation by intravenous route, for example during painful dressing changes or debriefing pressure sores. In this article possibilities of an application of several basic regional blocks were submitted with a few clinical examples of palliative care patients

Abstract

The effective pain treatment sometimes requires to apply the combination of various techniques. Interventional methods, particularly relatively easy to perform regional blocks, may be helpful in treatment of intractable pain as well as applied in patients who prefer reduction of drug consumption. The reasons for such choice tend to be unpleasant adverse effects of medications or polypharmacy due to treatment of co-existing diseases. Interventional methods are used concurrently with rehabilitation, physiotherapy, lymphatic massage, transdermal, electric nerve stimulation and pharmacology treatment. Regional nerve blocks may be used not only as part of therapy but also as a type of anesthesia without the need of inducing sedation by intravenous route, for example during painful dressing changes or debriefing pressure sores. In this article possibilities of an application of several basic regional blocks were submitted with a few clinical examples of palliative care patients

Get Citation

Keywords

nerve blocks, regional anesthesia, pain in cancer patients

About this article
Title

An application of regional nerve blocks in the treatment of pain in palliative care patients

Journal

Palliative Medicine in Practice

Issue

Vol 10, No 2 (2016)

Article type

Case report

Pages

66-74

Published online

2016-11-29

Page views

589

Article views/downloads

15617

Bibliographic record

Medycyna Paliatywna w Praktyce 2016;10(2):66-74.

Keywords

nerve blocks
regional anesthesia
pain in cancer patients

Authors

Elwira Góraj

References (25)
  1. Bochenek A, Reicher M. Anatomia Człowieka. Tom IV i V. PZWL, Warszawa 1989.
  2. Hadzić A. Blokady nerwów obwodowych Wyd 2. Medmedia, Warszawa 2013.
  3. Gray AT. Atlas technik znieczulenia regionalnego pod kontrolą ultrasonograficzną. , Wrocław 2012.
  4. Fernandes M, Barbosa M, Sousa A, et al. Suprascapular Nerve Block: Important Procedure in Clinical Practice. Brazilian Journal of Anesthesiology. 2012; 62(1): 96–104.
  5. Gorthi V, Moon YL, Kang JH. The effectiveness of ultrasonography-guided suprascapular nerve block for perishoulder pain. Orthopedics. 2010; 33(4).
  6. Mercadante S, Sapio M, Villari P. Suprascapular nerve block by catheter for breakthrough shoulder cancer pain. Reg Anesth. 1995; 20(4): 343–346.
  7. Ebraheim NA, Whitehead JL, Alla SR, et al. The suprascapular nerve and its articular branch to the acromioclavicular joint: an anatomic study. J Shoulder Elbow Surg. 2011; 20(2): e13–e17.
  8. Price DJ. What local anesthetic volume should be used for suprascapular nerve block? Reg Anesth Pain Med. 2008; 33(6): 571; author reply 571–571; author reply 573.
  9. elinek P, et al. Ganglion stellatum blockade is a suitable tool to control the post–mastectomy pain syndrome. Austral-Asian J Cancer. 2006; 5: 185–189.
  10. Forouzanfar T, van Kleef M, Weber WE. Radiofrequency lesions of the stellate ganglion in chronic pain syndromes: retrospective analysis of clinical efficacy in 86 patients. Clin J Pain. 2000; 16(2): 164–168.
  11. Jadon A. Revalidation of a modified and safe approach of stellate ganglion block. Indian J Anaesth. 2011; 55(1): 52–56.
  12. Imani F, Hemati K, Rahimzadeh P, et al. Effectiveness of Stellate Ganglion Block Under Fuoroscopy or Ultrasound Guidance in Upper Extremity CRPS. J Clin Diagn Res. 2016; 10(1): UC09–UC12.
  13. Matchett G. Intercostal Nerve Block and Neurolysis for Intractable Cancer Pain. J Pain Palliat Care Pharmacother. 2016; 30(2): 114–117.
  14. Kirschner JS, Foye PM, Cole JL. Piriformis syndrome, diagnosis and treatment. Muscle Nerve. 2009; 40(1): 10–18.
  15. Mullin V, de Rosayro M. Caudal steroid injection for treatment of piriformis syndrome. Anesth Analg. 1990; 71(6): 705–707.
  16. Fishman L, Dombi G, Michaelsen C, et al. Piriformis syndrome: Diagnosis, treatment, and outcome—a 10-year study. Archives of Physical Medicine and Rehabilitation. 2002; 83(3): 295–301.
  17. Hernando MF, Cerezal L, Pérez-Carro L, et al. Deep gluteal syndrome: anatomy, imaging, and management of sciatic nerve entrapments in the subgluteal space. Skeletal Radiol. 2015; 44(7): 919–934.
  18. Smith HS, Busracamwongs A. Management of hiccups in the palliative care population. Am J Hosp Palliat Care. 2003; 20(2): 149–154.
  19. Calvo E, Fernández-La Torre F, Brugarolas A. Cervical phrenic nerve block for intractable hiccups in cancer patients. J Natl Cancer Inst. 2002; 94(15): 1175–1176.
  20. Renes SH, van Geffen GJ, Rettig HC, et al. Ultrasound-guided continuous phrenic nerve block for persistent hiccups. Reg Anesth Pain Med. 2010; 35(5): 455–457.
  21. Kuusniemi K, Pyylampi V. Phrenic nerve block with ultrasound-guidance for treatment of hiccups: a case report. J Med Case Rep. 2011; 5: 493.
  22. Sollerman C, Ejeskär A. Sollerman hand function test. A standardised method and its use in tetraplegic patients. Scand J Plast Reconstr Surg Hand Surg. 1995; 29(2): 167–176.
  23. Fredrickson MJ, Kilfoyle DH. Neurological complication analysis of 1000 ultrasound guided peripheral nerve blocks for elective orthopaedic surgery: a prospective study. Anaesthesia. 2009; 64(8): 836–844.
  24. Jeng CL, Torrillo TM, Rosenblatt MA. Complications of peripheral nerve blocks. Reg Anesth. 1995; 20: 343–346.
  25. Rothschild L, Bern S, Oswald S, et al. Intravenous lipid emulsion in clinical toxicology. Scand J Trauma Resusc Emerg Med. 2010; 18: 51.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., ul. Świętokrzyska 73 , 80–180 Gdańsk, Poland

phone:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl