Blocchi eco-guidati della parte toracica e addominale

Dott. Pierfrancesco Fusco U.O.C. Anestesia e Rianimazione

P.O. San Salvatore L’Aquila

ANATOMY

ANATOMY

T7 – T11 Thoracoabdominal Nerves

T12 Sub-costal nerve

L1 Ilio-hypogastric - Ilio inguinal Nerves

ANATOMY

How safe is it ?

Bowel hematoma Liver laceration

Transient femoral nerve palsy

Continuous transversus abdominis plane infusion was non-inferior to epiduralinfusion in providing analgesia after laparoscopic colorectal surgery.

The optimium site of insertion will be defined in the futureStudies comparing different volumes and concentrations of local

anesthetics for infusion via catheters as currently there isinsufficent evidence to state optimum infusion rate

Rafi AN. 2001. Abdominal field block: A new approach via the lumbar triangle. Anaesthesia 56:1024–1026

From Landmark Technique to the future

QLB IQLB IITQL

R Blanco

TQL

EXPERT HANDS

ANATOMY

ALR

ANTERIOR THORACIC WALL MUSCLES

ANATOMY OF THE PECTORAL NERVE

PVBPECS

PECS I

PECS II

SPB

DOSAGGI

PARASTERNAL BLOCK

GRAZIE