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경추간판 접근법에 의한 내장 신경 차단 - 증례보고-

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Affiliated Author(s)
이정구장영호정정길
Alternative Author(s)
Lee, Jung KooJang, Young HoChung, Jung Kil
Journal Title
대한통증학회지
ISSN
1226-2579
Issued Date
1997
Keyword
TechniqueSplanchnic nerve blocktransdiscal approach
Abstract
Neurolytic splanchnic nerve block is effective for treatment of intractable upper abdominal cancer pain. Conventional approach for splanchnic nerve block is conducted in the prone position to ensure proper orientation and to allow insertion of needles on each side of the vertebral body. However, the prone position has some technical disadvantages as this position is frequently poorly tolerated by a majority of patients with advanced cancer due to severe abdominal pain, ascites and so on. Male patient, 53-year old with transverse colon cancer, carcinomatosis peritonei and L1, L2 vertebral body metastasis, was admitted for treatment of severe right upper quadrant and right iliac crest pain. We performed neurolytic splanchnic nerve block with transdiscal technique in the lateral decubitus position under fluoroscopic guidance, and well noted the usefulness and the advantage of this technique. The benefits of this technique are safe, simple and effective because the lateral position is better tolerated by patients and makes bony landmarks more accessible during fluoroscopy.
Alternative Title
Splanchnic Nerve Block with Transdiscal Approach
- A case report -
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Publisher
School of Medicine
Citation
나영두 et al. (1997). 경추간판 접근법에 의한 내장 신경 차단
- 증례보고-. 대한통증학회지, 10(1), 89–92.
Type
Article
ISSN
1226-2579
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39745
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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