Although percutaneous transhepatic biliary drainage (PTBD) and tract dilatation (TD) are very painful procedures, almost all of those procedures have been conducted under local anesthesia and opioid injection due to the lack of manpower and time. Celiac plexus block (CPB) is an interventional technique used for diagnostic and therapeutic purposes in the treatment of abdominovisceral pain. CPB d...

Celiac plexus block (CPB) is one of the main treatment options for patients resistant to conventional antihypertensive drugs. We present a case of resistant hypertension (RHTN) that was treated with CPB using botulinum toxin. An 18-year-old male patient with RHTN, who suffered from persistent hypertension even after combination therapy and a renal denervation procedure, was referred to our pain...

INTRODUCTION The pain from upper gastrointestinal malignancy leads to considerable morbidity. The celiac plexus and splanchnic nerve neurolysis are good therapeutic options. Although splanchnic nerve neurolysis less frequently performed, but it has an edge over celiac plexus as it can be performed in patients with altered celiac plexus anatomy by enlarged lymph nodes. METHODS The fluoroscopy-...

Abstract Background Celiac plexus neurolysis is an effective mode of long-term palliation somatic pain in inoperable upper gastro-intestinal neoplasm. CT guidance the most accepted method localising tip needle, through which, neurolytic agent, commonly Absolute Alcohol, introduced along celiac ganglion. Three dimensional assessment retroperitoneal anatomy avoids injury to adjacent viscera and v...

BACKGROUND This study investigated the cost-effectiveness of ultrasonographic-guided interscalene brachial plexus blockade (ISB) in comparison with general anaesthesia (GA) for arthroscopic shoulder surgery. METHODS Forty patients undergoing arthroscopic shoulder surgery received either an ultrasonographic-guided ISB or GA. ISB was performed outside the operation room (OR) and patients were t...

Supraclavicular brachial plexus blocks are not common in pediatric patients due to the risk of pneumothorax. Ultrasonography is an important tool for identifying nerves during regional anesthesia. Directly visualizing the target nerves and monitoring the distribution of the local anesthetic are potentially significant. In addition, ultrasound monitoring helps avoid complications, such as inadve...

A serious problem for patients with unresectable pancreatic cancer and chronic pancreatitis is pain. For many of these patients medical therapy is unable to assure a good control of it. Celiac plexus nerve block and surgical denervation of the pancreas have proven their superiority over medical therapy. Thoracoscopic splanchnicectomy is a palliative procedure that consists in identification and...