To the Editor： Percutaneous nephrolithotomy （PCNL） is a surgical procedure commonly used to treat large kidney stones. It is usually accompanied by severe pain and discomfort postoperatively. Intravenous opioids an...To the Editor： Percutaneous nephrolithotomy （PCNL） is a surgical procedure commonly used to treat large kidney stones. It is usually accompanied by severe pain and discomfort postoperatively. Intravenous opioids and local anesthetic infiltration have been conventionally used to control postoperative pain. In addition, regional blocks, for example, the paravertebral block and intercostal block, have been attempted. However, the efficacy of these blocks for analgesia has not been established yet.[1] Erector spinae plane block （ESPB） reportedly provides effective analgesia after thoracic and abdominal surgery.[2,3] We describe a patient in whom continuous ESPB was used to provide highly effective analgesia after PCNL.展开更多
To the Editor:Erector spinae plane block (ESPB) has been reported to provide effective analgesia for various indications, including thoracic and breast surgery.[1] To the best of our knowledge, there is no case in whi...To the Editor:Erector spinae plane block (ESPB) has been reported to provide effective analgesia for various indications, including thoracic and breast surgery.[1] To the best of our knowledge, there is no case in which the ESPB provide postoperative analgesia in open nephrectomy except for one pediatric patient.[2] We report a case in which intermittent ESPB provides effective pain control as a part of multimodal analgesia after open nephrectomy.展开更多
To the Editor:Transmuscular quadratus lumborum block(TQLB)is known to provide visceral analgesia by blocking sympathetic fibers by spreading into the thoracic paravertebral spaces.[1]It is relatively safer than other ...To the Editor:Transmuscular quadratus lumborum block(TQLB)is known to provide visceral analgesia by blocking sympathetic fibers by spreading into the thoracic paravertebral spaces.[1]It is relatively safer than other conventional methods of analgesia.However,to our knowledge,there have been no reports of hoarseness associated with TQLB.Herein,we report two cases of hoarseness and discomfort to the throat after TQLB.展开更多
To the Editor:Although regional anesthesia provides prolonged post-operative analgesia,there is no suitable method that can facilitate an early reversal of the blockade until the duration of action of the local anesth...To the Editor:Although regional anesthesia provides prolonged post-operative analgesia,there is no suitable method that can facilitate an early reversal of the blockade until the duration of action of the local anesthetic has elapsed.A large quantity of saline is used to reverse the central neuraxial block.[1,2]However,to our knowledge,no study has reported a method for reversing nerve blockade in peripheral nerve blocks,especially costoclavicular blocks.Herein,we report a case of dramatic recovery of both motor and sensory functions after saline injection through the catheter in a patient who was administered a continuous costoclavicular block for analgesia after shoulder surgery.展开更多
文摘To the Editor： Percutaneous nephrolithotomy （PCNL） is a surgical procedure commonly used to treat large kidney stones. It is usually accompanied by severe pain and discomfort postoperatively. Intravenous opioids and local anesthetic infiltration have been conventionally used to control postoperative pain. In addition, regional blocks, for example, the paravertebral block and intercostal block, have been attempted. However, the efficacy of these blocks for analgesia has not been established yet.[1] Erector spinae plane block （ESPB） reportedly provides effective analgesia after thoracic and abdominal surgery.[2,3] We describe a patient in whom continuous ESPB was used to provide highly effective analgesia after PCNL.
文摘To the Editor:Erector spinae plane block (ESPB) has been reported to provide effective analgesia for various indications, including thoracic and breast surgery.[1] To the best of our knowledge, there is no case in which the ESPB provide postoperative analgesia in open nephrectomy except for one pediatric patient.[2] We report a case in which intermittent ESPB provides effective pain control as a part of multimodal analgesia after open nephrectomy.
文摘To the Editor:Transmuscular quadratus lumborum block(TQLB)is known to provide visceral analgesia by blocking sympathetic fibers by spreading into the thoracic paravertebral spaces.[1]It is relatively safer than other conventional methods of analgesia.However,to our knowledge,there have been no reports of hoarseness associated with TQLB.Herein,we report two cases of hoarseness and discomfort to the throat after TQLB.
文摘To the Editor:Although regional anesthesia provides prolonged post-operative analgesia,there is no suitable method that can facilitate an early reversal of the blockade until the duration of action of the local anesthetic has elapsed.A large quantity of saline is used to reverse the central neuraxial block.[1,2]However,to our knowledge,no study has reported a method for reversing nerve blockade in peripheral nerve blocks,especially costoclavicular blocks.Herein,we report a case of dramatic recovery of both motor and sensory functions after saline injection through the catheter in a patient who was administered a continuous costoclavicular block for analgesia after shoulder surgery.
