Паравертебральна блокада в абдоминальній хірургії. Літературний огляд та власний досвід застосування

А. А. Альбокрiнов

doi:10.25284/2519-2078.2(71).2015.84878

Автор(и)

А. А. Альбокрiнов Львiвська обласна дитяча клнiчна лiкарня «Охматдит», Україна

DOI:

https://doi.org/10.25284/2519-2078.2(71).2015.84878

Ключові слова:

паравертебральна блокада, абдомiнальна хiрургiя

Анотація

Представлено сучаснi данi щодо анатомiї паравертебрального простору, методик проведення паравертебральної блокади, показань i протипоказань до неї, безпечностi та ефективностi паравертебральної блокади для знеболювання передньої черевної стiнки i органiв черевної порожнини. Наведено власний досвiд застосування паравертебральної блокади в хiрургiї передньої черевної стiнки у дiтей.

Біографія автора

А. А. Альбокрiнов, Львiвська обласна дитяча клнiчна лiкарня «Охматдит»

Albokrinov A.A.

Посилання

Eid H.E.A. Paravertebral block: An overview. Current Anaesthesia & Critical Care. 2009;20:65-70. https://doi.org/10.1016/j.cacc.2008.12.003

Berta E., Spanhel J., Gabrhelik T., Lönnqvist P.-A. Paravertebral block in children. Techniques in Regional Anesthesia and Pain Management. 2007;11: 247-254. https://doi.org/10.1053/j.trap.2007.09.005

Batra R.K., Krishnan K., Agarwal A. Paravertebral Block. J Anaesth Clin Pharmacol. 2011;27(1):5-11.

Tighe S.Q.M., Greene M.D., Rajadurai N. Paravertebral block. Continuing Education in Anaesthesia, Critical Care & Pain. 2010;10(5):133-137.

Kaye A.D., Richard D., Urman R.D., Vadivelu N., editors. Essentials of Regional Anesthesia. New York: Springer, 2012. p. 426-427. https://doi.org/10.1007/978-1-4614-1013-3

Abrahams M.S., Horn J.-L. Peripheral Blocks of the Chest and Abdomen. Advances in Anesthesia. 2010; 28:81-109. https://doi.org/10.1016/j.aan.2010.07.005

Naja M.Z., Ziade M.F., El Rajab M., El Tayara K., Lönnqvist P.A. Varying anatomical injection points within the thoracic paravertebral space: effect on spread of solution and nerve blockade. Anaesthesia. 2004;59(5):459-463. https://doi.org/10.1111/j.1365-2044.2004.03705.x

Kirchmair L., Enna B., Mitterschiffthaler G., Moriggl B., Greher M., Marhofer P., Kapral S., Gassner I. Lumbar plexus in children. A sonographic study and its relevance to pediatric regional anesthesia. Anesthesiology. 2004;101(2): 445-450. https://doi.org/10.1097/00000542-200408000-00026

Karmakar M.K., Kwok W.H., Kew J. Thoracic paravertebral block: radiological evidence of contralateral spread anterior to the vertebral bodies. Br J Anaesth. 2000;84(2):263-265. https://doi.org/10.1093/oxfordjournals.bja.a013417

Karmakar M.K. Thoracic paravertebral block. Anesthesiology. 2001;95(3):771-780. https://doi.org/10.1097/00000542-200109000-00033

Carney J., Finnerty O., Rauf J., Bergin D., Laffey J.G., Mc Donnell J.G. Studies on the spread of local anaesthetic solution in transversus abdominis plane blocks. Anaesthesia. 2011; 66(11):1023-1030. https://doi.org/10.1111/j.1365-2044.2011.06855.x

Lönnqvist P.A., Hildingsson U. The caudal boundary of the thoracic paravertebral space. A study in human cadavers. Anaesthesia. 1992;47(12):1051-1052. https://doi.org/10.1111/j.1365-2044.1992.tb04200.x

Karmakar M.K., Gin T., Ho A. M.‐H. Ipsilateral thoraco‐lumbar anaesthesia and paravertebral spread after low thoracic paravertebral injection. Br J Anaesth. 2001;87(2):312-316. https://doi.org/10.1093/bja/87.2.312

El-Dawlatly A., Hajjar W., Abodonya A., Alsafar R. Ultrasound-Guided Thoracic Paravertebral Block: The Direction of Local Anaesthetic Spread. International Journal of Ultrasound and Applied Technologies in Perioperative Care. 2010; 1(2): 123-125. https://doi.org/10.5005/jp-journals-10014-1019

Saito T., Den S., Tanuma K., Tanuma Y., Carney E., Carlsson C. Anatomical bases for paravertebral an esthetic block: fluid communication between the thoracic and lumbar paravertebral regions. Surg Radiol Anat. 1999;21(6):359-363. https://doi.org/10.1007/bf01631341

Bhalla T., Sawardekar A., Dewhirst E., Jagannathan N., Tobias J.D. Ultrasound-guided trunk and core blocks in infants and children. J Anesth. 2013;27(1):109-123. https://doi.org/10.1007/s00540-012-1476-5

Cowie B., McGlade D., Ivanusic J., Barrington M.J. Ultrasound-guided thoracic paravertebral blockade: a cadaveric study. Anesth Analg. 2010;110(6):1735-1739. https://doi.org/10.1213/ane.0b013e3181dd58b0

Gadsden J.C., Lindenmuth D.M., Hadzic A., Xu D., Somasundarum L., Flisinski K.A. Lumbar plexus block using high-pressure injection leads to contralateral and epidural spread. Anesthesiology. 2008; 109(4):683-688. https://doi.org/10.1097/aln.0b013e31818631a7

Sinelnikov R.D., Sinelnikov Ya.R. Atlas of Human Anatomy. 2nd ed. Moscow: Meditsina; 1996. (in Russian) p. 185-186.

Ponde V.C., Desai A.P. Echo-guided estimation of formula for paravertebral block in neonates, infants and children till 5 years. Indian J Anaesth. 2012; 56(4):382-386. https://doi.org/10.4103/0019-5049.100825

Oliver J.A., Oliver L.A. Beyond the caudal: truncal blocks an alternative option for analgesia in pediatric surgical patients. Curr Opin Anaesthesiol. 2013;26(6):644-651. https://doi.org/10.1097/aco.0000000000000021

Marhofer P., Harrop-Griffiths W., Willschke H., Kirchmair L. Fifteen years of ultrasound guidance in regional anaesthesia: Part 2—Recent developments in block techniques. Br J Anaesth. 2010; 104(6):673-683. https://doi.org/10.1093/bja/aeq086

Tsui B., Suresh S. Ultrasound imaging for regional anesthesia in infants, children, and adolescents: a review of current literature and its application in the practice of extremity and trunk blocks. Anesthesiology. 2010;112(2):473-92. https://doi.org/10.1097/aln.0b013e3181c5dfd7

Karmakar M.K., Ho A. M.-H., Li X., Kwok W.H., Tsang K., Ngan Kee W.D. Ultrasound-guided lumbar plexus block through the acoustic window of the lumbar ultrasound trident. Br J Anaesth. 2008;100(4):533-537. https://doi.org/10.1093/bja/aen026

Renes S.H., Bruhn J., Gielen M.J., Scheffer G.J., van Geffen G.J. In-plane ultrasound-guided thoracic paravertebral block: a preliminary report of 36 cases with radiologic confirmation of catheter position. Reg Anesth Pain Med. 2010; 35(2): 212-216. https://doi.org/10.1097/aap.0b013e3181c75a8b

Vogt A. Review about ultrasounds in paravertebral blocks. European Journal of Pain Supplements. 2011;5(S2):489-494. https://doi.org/10.1016/j.eujps.2011.08.043

Lang S.A. The use of a nerve stimulator for thoracic paravertebral block. Anesthesiology. 2002;97(2):521. https://doi.org/10.1097/00000542-200208000-00037

Naja Z.M., Raf M., El Rajab M., Ziade F.M., Al Tannir M.A., Lönnqvist P.A. Nerve stimulator-guided paravertebral blockade combined with sevoflurane sedation versus general anesthesia with systemic analgesia for postherniorrhaphy pain relief in children: a prospective randomized trial. Anesthesiology. 2005;103(3):600-605. https://doi.org/10.1097/00000542-200509000-00024

Hadzic A. Textbook of Regional Anesthesia and Acute Pain Management. New York: Mc Graw-Hill, Medical Pub. Division, 2007. Chapter 43. Thoracic & Lumbar Paravertebral Block.

Kaya F.N., Turker G., Mogol E.B., Bayraktar S. Thoracic paravertebral block for video-assisted thoracoscopic surgery: single injection versus multiple injections. J Cardiothorac Vasc Anesth. 2012 Feb;26(1):90-94. https://doi.org/10.1053/j.jvca.2011.09.008

Özkan D., Akkaya T., Cömert A., Balkc N., Özdemir E., Gümüs H., Ergül Z., Kaya O. Paravertebral block in inguinal hernia surgeries: two segments or 4 segments? Reg Anesth Pain Med. 2009; 34(4):312-315. https://doi.org/10.1097/aap.0b013e3181ae1169

Hadzic A., Kerimoglu B., Loreio D., Karaca P.E., Claudio R.E., Yufa M., Wedderburn R., Santos A.C., Thys D.M. Paravertebral blocks provide superior same-day recovery over general anesthesia for patients undergoing inguinal hernia repair. Anesth Analg. 2006;102(4):1076-81. https://doi.org/10.1213/01.ane.0000196532.56221.f2

Klein S.M., Pietrobon R., Nielsen K.C., Steele S.M., Warner D.S., Moylan J.A., Euban ks W.S., Greengrass R.A. Paravertebral somatic nerve block compared with peripheral nerve blocks for outpatient inguinal herniorrhaphy. Reg Anesth Pain Med. 2002;27(5):476-480. https://doi.org/10.1053/rapm.2002.35147

Weltz C.R., Klein S.M., Arbo J.E., Greengrass R.A. Paravertebral block anesthesia for inguinal hernia repair. World J Surg. 2003;27(4):425-429. https://doi.org/10.1007/s00268-002-6661-5

Moussa A.A., Bamehriz F. Bilateral thoracic paravertebral block versus intraperitoneal bupivacaine for pain management after laparoscopic cholecystectomy. Saudi J Anaesth. 2007;1:62-67.

Nair V., Henry R. Bilateral paravertebral block: a satisfactory alternative for labour analgesia. Can J Anaesth. 2001;48(2):179-184. https://doi.org/10.1007/bf03019732

Naja Z.M., El-Rajab M., Ziade F., Al-Tannir M., Itani T. Preoperative vs. postoperative bilateral paravertebral blocks for laparoscopic cholecystectomy: a prospective randomized clinical trial. Pain Pract. 2011;11(6):509-515. https://doi.org/10.1111/j.1533-2500.2011.00447.x

Serpetinis I., Bassiakou E., Xanthos T., Baltatzi L., Kouta A. Paravertebral block for open cholecystectomy in patients with cardiopulmonary pathology. Acta Anaesthesiol Scand. 2008;52(6):872-873. https://doi.org/10.1111/j.1399-6576.2008.01646.x

Rudkin G.E., Gardiner S.E., Cooter R.D. Bilateral thoracic paravertebral block for abdominoplasty. J Clin Anesth. 2008;20(1):54-56. https://doi.org/10.1016/j.jclinane.2007.06.020

Ben-David B., Swanson J., Nelson J.B., Chelly J.E. Multimodal analgesia for radical prostatectomy provides better analgesia and shortens hospital stay. J Clin Anesth. 2007;19(4):264-268. https://doi.org/10.1016/j.jclinane.2006.12.003

Moussa A.A. Opioid saving strategy: bilateral single-site thoracic paravertebral block in right lobe donor hepatectomy. Middle East J Anesthesiol. 2008;19:789-801.

Berta E., Spanhel J., Smakal O., Smolka V., Gabrhelik T., Lönnqvist P.-A. Single injection paravertebral block for renal surgery in children. Paediatr Anaesth. 2008; 18(7):593-7. https://doi.org/10.1111/j.1460-9592.2008.02592.x

Visoiu M., Yang C. Ultrasound-guided bilateral paravertebral continuous nerve blocks for a mildly coagulopathic patient undergoing exploratory laparotomy for bowel resection. Paediatr Anaesth. 2011;21(4):459-462. https://doi.org/10.1111/j.1460-9592.2010.03511.x

Finnerty O., Carney J., McDonnell J.G. Trunk blocks for abdominal surgery. Anaesthesia. 2010;65(1):76-83. https://doi.org/10.1111/j.1365-2044.2009.06203.x

Baumgarten R.K., Greengrass R.A., Wesen C.A. Paravertebral block: the holy grail of anesthesia for hernia surgery? Anesth Analg. 2007;104(1):207. https://doi.org/10.1213/01.ane.0000247713.89497.09

Ecoffey C., Lacroix F., Giaufré E., Orliaguet G., Courrèges P., Association des Anesthésistes Réanimateurs Pédiatriques d’Expression Française (ADARPEF). Epidemiology and morbidity of regional anesthesia in children: a follow-up one-year prospective survey of the French-Language Society of Paediatric Anaesthesiologists (ADARPEF). Paediatr Anaesth. 2010;20 (12):1061-1069. https://doi.org/10.1111/j.1460-9592.2010.03448.x

King K., Chelly J.E. Paravertebral Blocks: The Evolution of a Standard of Care. Anesthesiology News. 2010;38(3):1-8.

Moawad H.E., Mousa S.A., El-Hefnawy A.S. Single-dose paravertebral blockade versus epidural blockade for pain relief after open renal surgery: A prospective randomized study. Saudi J Anaesth. 2013;7(1):61-67. https://doi.org/10.4103/1658-354x.109814

Akcaboy E.Y., Akcaboy Z. N., Baydar M., Gogus N. Ambulatory inguinal hernia repair: paravertebral block versus spinal anesthesia. Regional Anesthesia and Pain Medicine. 2007;32(15). https://doi.org/10.1097/00115550-200709001-00055

Naja M.Z., El Hassan M.J., Oweidat M., Zbibo R., Ziade M.F., Lцnnqvist P.A. Paravertebral blockade vs general anesthesia or spinal anesthesia for inguinal hernia repair. Middle East J Anesthesiol. 2001;16(2):201-10.

Mandal M. C., Das S., Gupta S., Ghosh T.R., Basu S.R. Paravertebral block can be an alternative to unilateral spinal anaesthesia for inguinal hernia repair. Indian J Anaesth. 2011;55(6):584-589. https://doi.org/10.4103/0019-5049.90613

Bhattacharya P., Mandal M.C., Mukhopadhyay S., Das S., Pal P.P., Basu S.R. Unilateral paravertebral block: an alternative to conventional spinal anaesthesia for inguinal hernia repair. Acta Anaesthesiol Scand. 2010;54(2):246-251. https://doi.org/10.1111/j.1399-6576.2009.02128.x

Tug R., Ozcengiz D., Gьneє Y. Single level paravertebral versus caudal block in paediatric inguinal surgery. Anaesth Intensive Care. 2011;39(5):909-913.

Naja Z.M., Raf M., El Rajab M., Daoud N., Ziade F.M., Al Tannir M.A., Lönnqvist P. A. A comparison of nerve stimulator guided paravertebral block and ilio-inguinal nerve block for analgesia after inguinal herniorrhaphy in children. Anaesthesia. 2006; 61(11): 1064-1068. https://doi.org/10.1111/j.1365-2044.2006.04833.x

Lönnqvist P.A. Blocks for pain management in children undergoing ambulatory surgery. Curr Opin Anaesthesiol. 2011; 24 (6): 627-32. https://doi.org/10.1097/aco.0b013e32834a276d

Naja Z.M., Ziade M.F., Lönnqvist P.A. Bilateral paravertebral somatic nerve block for ventral hernia repair. Eur J Anaesthesiol. 2002;19(3):197-202. https://doi.org/10.1097/00003643-200203000-00008

Naja M.Z., Ziade M.F., Lönnqvist P.A. General anaesthesia combined with bilateral paravertebral blockade (T5–6) vs. general anaesthesia for laparoscopic cholecystectomy: a prospective, randomized clinical trial. Eur J Anaesthesiol. 2004;21(6):489-95. https://doi.org/10.1017/s026502150400612x

Sinha S., Mukherjee M, Chatterjee S., Vijay M.K., Hazra A., Ray M. Comparative stud y of analgesic efficacy of ropivacaine with ropivacaine plus dexmedetomidine for paravertebral block in unilateral renal surgery. Anaesthesia, Pain & Intensive Care. 2012;16(1):38-42.

Bhatnagar S., Mishra S., Madhurima S., Gurjar M., Mondal A.S. Clonidine as an analgesic adjuvant to continuous paravertebral bupivacaine for post-thoracotomy pain. Anaesth Intensive Care. 2006;34(5):586-591.

Lekhak B., Bartley C., Conacher I.D., Nouraei S.M. Total spinal anaesthesia in association with insertion of a paravertebral catheter. Br J Anaesth. 2001;86(2): 280-282. https://doi.org/10.1093/bja/86.2.280

Evans P.J., Lloyd J.W., Wood G.J. Accidental intrathecal injection of bupivacaine and dextran. Anaesthesia. 1981;36(7):685-687. https://doi.org/10.1111/j.1365-2044.1981.tb08781.x