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Intercostal Nerve Block

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Ultrasound for Interventional Pain Management

Abstract

This chapter summarizes the anatomy and sonoanatomy of the intercostal space. There is a detailed discussion of patient selection and the procedure including cryotherapy. A summary of intercostal nerve blocks utilizing ultrasound, high-intensity focused ultrasound (HIFU), radiofrequency ablation, and alcohol neurolysis is included. Finally, the adverse effect of pneumothorax is briefly discussed.

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References

  1. Abd-Elsayed A, Lee S, Jackson M. Radiofrequency ablation for treating resistant intercostal neuralgia. Ochsner J. 2018;18(1):91–3.

    PubMed  PubMed Central  Google Scholar 

  2. Byas-Smith M, Gulati A. Ultrasound-guided intercostal nerve cryoablation. Anesth Analg. 2006;103(4):1033–5.

    Article  PubMed  Google Scholar 

  3. Gulati A, Loh J, Gutta NB, et al. Novel use of noninvasive high-intensity focused ultrasonography for intercostal nerve neurolysis in a Swine model. Reg Anesth Pain Med. 2014;39(1):26–30.

    Article  CAS  PubMed  Google Scholar 

  4. Holzer A, Kapral S, Hellwagner K, et al. Severe pneumothorax after intercostal nerve blockade: a case report. Acta Anesthesiol Scand. 1998;42(9):1124–6.

    Article  CAS  Google Scholar 

  5. Shanti CM, Carlin AM, Tyburski JG. Incidence of pneumothorax from intercostal nerve block for analgesia in rib fractures. J Trauma. 2001;51:536–9.

    CAS  PubMed  Google Scholar 

  6. Stone MB, Carnell J, Fischer JW, et al. Ultrasound-guided intercostal nerve block for traumatic pneumothorax requiring tube thoracostomy. Am J Emerg Med. 2011;29(6):697. E1–2.

    Article  Google Scholar 

  7. Wijayasinghe N, Duriaud H, Kehlet H, Andersen KG. Ultrasound guided intercostobrachial nerve blockade in patients with persistent pain after breast cancer surgery: a pilot study. Pain Physician. 2016;19:E309–17.

    PubMed  Google Scholar 

  8. Wisotzky EM, Saini V, Kao C. Ultrasound-guided intercostobrachial nerve block for intercostobrachial neuralgia in breast cancer patients: a case series. PMR. 2016;8(3):273–7.

    Article  Google Scholar 

  9. Zhu M, Gu Y, Sun X, et al. Ultrasound-guided intercostal nerve block following esophagectomy for acute postoperative pain relief in the postanesthesia care unit. Pain Pract. 2018;18:879–83. [Epub ahead of print].

    Article  PubMed  Google Scholar 

Suggested Reading

  • Baxter CS, Fitzgerald BM. Nerve block, intercostal. [Updated 2018 Feb 7]. In: StatPearls [Internet]. Treasure Island: StatPearls Publishing; 2018.

    Google Scholar 

  • Braun H. Operations of the spinal column and thorax. Local anesthesia, its scientific basis and practical use. 3rd ed. Cincinnati: Lea & Febiger; 1914. p. 278–82.

    Google Scholar 

  • Cousins MJ, Carr DB, Horlocker TT, Bridenbaugh PO. Intercostal, intrapleural, and peripheral blockade of the thorax and abdomen. In: Harmon DC, Shorten GD, editors. Cousins and Bridenbaugh’s neural blockade in clinical anesthesia and pain medicine. 4th ed. Philadelphia: Lippincott Williams and Wilkins; 2009. p. 386–90.

    Google Scholar 

  • Dowling R, Thielmeier K, Ghaly A, Barber D, Dine A. Improved pain control after cardiac surgery: results of a randomized, double-blind, clinical trial. J Thorac Cardiovasc Surg. 2003;126(5):1271–9.

    Article  CAS  PubMed  Google Scholar 

  • Gulati A. Chapter 57: Intercostal nerve block. In: Diwan S, Staats P, editors. Atlas of pain medicine procedures. New York: McGraw-Hill Education; 2014.

    Google Scholar 

  • Gulati A. Precision pain medicine: can we deliver targeted pain therapies for the oncologic patient in the 21st century? Pain Med. 2017;18(7):1207–8. https://doi.org/10.1093/pm/pnx082.

    Article  PubMed  Google Scholar 

  • Moore KL, Agur AMR. Essential clinical anatomy. Philadelphia: Lippincott Williams & Wilkins; 2006.

    Google Scholar 

  • Mulroy MF, Bernards CM, McDonald SB, Salina FV. Intercostal and terminal nerve anesthesia of the trunk. In: Mulroy MF, editor. Regional anesthesia. 4th ed. Baltimore: Lippincott Williams & Wilkins; 2009. p. 137–46.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Division of Pain Medicine, Medical College of Wisconsin, Milwaukee, WI, USA

    Yu M. Chiu

  2. Anesthesiology and Critical Care, Division of Pain Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Amitabh Gulati

Authors
  1. Yu M. Chiu
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  2. Amitabh Gulati
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Corresponding author

Correspondence to Yu M. Chiu .

Editor information

Editors and Affiliations

  1. Department of Anesthesia and Pain Management, Toronto Western Hopsital and Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada

    Philip Peng

  2. Alan Edwards Pain Management Unit, McGill University Health Centre, Montreal, Quebec, Canada

    Roderick Finlayson

  3. Madi Pain Management Center, Jeonju, Korea (Republic of)

    Sang Hoon Lee

  4. Department of Anesthesia and Pain Management, Toronto Western Hopsital and Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada

    Anuj Bhatia

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Chiu, Y.M., Gulati, A. (2020). Intercostal Nerve Block. In: Peng, P., Finlayson, R., Lee, S., Bhatia, A. (eds) Ultrasound for Interventional Pain Management. Springer, Cham. https://doi.org/10.1007/978-3-030-18371-4_5

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  • DOI: https://doi.org/10.1007/978-3-030-18371-4_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-18370-7

  • Online ISBN: 978-3-030-18371-4

  • eBook Packages: MedicineMedicine (R0)

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