Ultrasound-Guided Intercostal Nerves (Cutaneous Branches) Block: Analgesic Alternative in Open Surgery Gallbladder

Department of Surgery, Hospital Medina del Campo, Spain.

Corresponding Author:María Teresa Fernández Martín, Department of Surgery, Hospital Medina del Campo, Valladolid, Spain, Tel:+34637571685; E-Mail: [email protected]

Received Date: 09 Jan 2017  
Accepted Date: 30 Jan 2017 
Published Date: 03 Feb 2017

Copyright©2016 Martin MTF

Citation:Martin MTF. (2017). Ultrasound-Guided Intercostal Nerves (Cutaneous Branches) Block: Analgesic Alternative in Open Surgery Gallblader. Mathews J Anesth. 1(1): 004.

ABSTRACT

Laparoscopic cholecystectomy has become the standard treatment for gallbladder diseases. However, there still are some patients for whom conversion to open surgery is required. This surgery generates a very important postoperative pain. Traditionally, the opioids drugs have been the treatment for this pain, but side effects have led to seek alternatives (plexus, nerve or fascia blocks). We present 8 patients with intercostal branches block ultrasounds in the mid-axillary line from T6 to T12 with levobupivacaine like analgesic alternative in open surgery of gallbladder, with satisfactory results.

KEYWORDS

Open Cholecystectomy; Postoperative Pain; Intercostal Nerves; Levobupivacaine; Ultrasonography.