External oblique intercostal block in open nephrectomy patients - A zenith in analgesia for anterolateral upper abdominal surgeries: A case series

Open nephrectomy is a common surgery usually performed for malignant and non-malignant renal pathologies. The external oblique intercostal block (EOIB) blocks the anterior and lateral cutaneous nerves from T6 to T10 and provides somatic analgesia. We present a case series of the use of EOIB in patie...

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Main Authors: Priyanka Bansal, Nidhi Sultania, Tarun Mittal
Format: Article
Language:English
Published: Manipal College of Medical Sciences, Pokhara 2024-02-01
Series:Asian Journal of Medical Sciences
Subjects:
Online Access:https://www.nepjol.info/index.php/AJMS/article/view/59407
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author Priyanka Bansal
Nidhi Sultania
Tarun Mittal
author_facet Priyanka Bansal
Nidhi Sultania
Tarun Mittal
author_sort Priyanka Bansal
collection DOAJ
description Open nephrectomy is a common surgery usually performed for malignant and non-malignant renal pathologies. The external oblique intercostal block (EOIB) blocks the anterior and lateral cutaneous nerves from T6 to T10 and provides somatic analgesia. We present a case series of the use of EOIB in patients undergoing open nephrectomy by subcostal incision. Ten patients were given EOIB, which included patients undergoing simple nephrectomy for non-functioning kidneys and radical nephrectomy for renal mass. The patients had satisfactory numerical rating scale scores, mostly <4 for 24 h. Post-operative opioid consumption was minimal. The external oblique fascial plain block is a novel thoracic block that provides reliable upper thoracoabdominal somatic analgesia. It can certainly be considered a suitable option in surgeries such as nephrectomies that involve an upper lateral abdominal wall incision.
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spelling doaj.art-8b3ded79df2146cb873de464eabdc6c72024-02-02T16:26:38ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762024-02-01152264268https://doi.org/10.3126/ajms.v15i2.59407External oblique intercostal block in open nephrectomy patients - A zenith in analgesia for anterolateral upper abdominal surgeries: A case seriesPriyanka Bansal 0https://orcid.org/0000-0002-5900-401XNidhi Sultania 1https://orcid.org/0009-0009-7616-7089Tarun Mittal 2https://orcid.org/0009-0003-2324-0584Associate Professor, Department of Anaesthesia, PT BD Sharma PGIMS, Rohtak, Haryana, India Senior Resident, Department of Anaesthesia, PT BD Sharma PGIMS, Rohtak, Haryana, IndiaResident, Department of Urology, PT BD Sharma PGIMS, Rohtak, Haryana, India Open nephrectomy is a common surgery usually performed for malignant and non-malignant renal pathologies. The external oblique intercostal block (EOIB) blocks the anterior and lateral cutaneous nerves from T6 to T10 and provides somatic analgesia. We present a case series of the use of EOIB in patients undergoing open nephrectomy by subcostal incision. Ten patients were given EOIB, which included patients undergoing simple nephrectomy for non-functioning kidneys and radical nephrectomy for renal mass. The patients had satisfactory numerical rating scale scores, mostly <4 for 24 h. Post-operative opioid consumption was minimal. The external oblique fascial plain block is a novel thoracic block that provides reliable upper thoracoabdominal somatic analgesia. It can certainly be considered a suitable option in surgeries such as nephrectomies that involve an upper lateral abdominal wall incision.https://www.nepjol.info/index.php/AJMS/article/view/59407external oblique intercostal plane block; nephrectomy; subcostal
spellingShingle Priyanka Bansal
Nidhi Sultania
Tarun Mittal
External oblique intercostal block in open nephrectomy patients - A zenith in analgesia for anterolateral upper abdominal surgeries: A case series
Asian Journal of Medical Sciences
external oblique intercostal plane block; nephrectomy; subcostal
title External oblique intercostal block in open nephrectomy patients - A zenith in analgesia for anterolateral upper abdominal surgeries: A case series
title_full External oblique intercostal block in open nephrectomy patients - A zenith in analgesia for anterolateral upper abdominal surgeries: A case series
title_fullStr External oblique intercostal block in open nephrectomy patients - A zenith in analgesia for anterolateral upper abdominal surgeries: A case series
title_full_unstemmed External oblique intercostal block in open nephrectomy patients - A zenith in analgesia for anterolateral upper abdominal surgeries: A case series
title_short External oblique intercostal block in open nephrectomy patients - A zenith in analgesia for anterolateral upper abdominal surgeries: A case series
title_sort external oblique intercostal block in open nephrectomy patients a zenith in analgesia for anterolateral upper abdominal surgeries a case series
topic external oblique intercostal plane block; nephrectomy; subcostal
url https://www.nepjol.info/index.php/AJMS/article/view/59407
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