Unilateral computerised tomography guided coeliac plexus block: a technique for pain relief

Coeliac plexus block for control of pain in chronic pancreatitis.

The important finding of this study is that in two-thirds of the papers relating to blood pressure published in four prestigious general medical journals one or more of the following were not mentioned: type of equipment used, the diastolic end-point chosen, or the number of readings per measurement. Other pertinent information was also not given. The implications are clear. Firstly, in the int...

CT-guided celiac plexus block for intractable abdominal pain.

Treatment of intractable abdominal pain due to inoperable intraabdominal malignancy is important, and the ineffectiveness of pharmacological agents has led many investigators to recommend chemical neurolysis of the celiac ganglions as a treatment. The author describes the technique and results of celiac plexus neurolysis under CT-guidance with various approach routes, including anterior, poster...

Suprascapular Nerve Block or Interscalene Brachial Plexus Block for Pain Relief after Arthroscopic Acromioplasty

Paravertebral block for post-cholecystectomy pain relief.

Sir,—Thank you for the chance to comment on the letters concerning the editorial "Airways Revisited". I did not state that transtracheal ventilation is unethical, all I said was that it may be considered so in normal patients. Injection of local anaesthesia does not need the great pressure that oxygen requires delivered through the cricothyroid membrane cannula. I do not use blind nasal intubat...

EUS-guided celiac plexus neurolysis and celiac plexus block.

Pancreatic cancer and chronic pancreatitis commonly produce pain that is difficult to control.1,2 Initial therapy with nonsteroidal anti-inflammatory agents (NSAIDs) is often inadequate and necessitates opioid administration. Although opioids effectively relieve pain, they are associated with dry mouth, constipation, nausea, vomiting, drowsiness, delirium, and may impair immune function.3,4 In ...