Animals,
Journal Year:
2023,
Volume and Issue:
13(19), P. 3045 - 3045
Published: Sept. 28, 2023
The
retrolaminar
block
was
developed
in
humans
as
an
easier
and
safer
alternative
to
the
thoracic
paravertebral
block.
This
study
aims
describe
ultrasound-guided
thoracolumbar
injection
canine
cadavers
compare
injectate
distribution
between
a
landmark-guided
technique
using
computed
tomography.
Ten
were
randomised
receive
two
injections
each
of
0.6
mL/kg
iodinated
contrast
at
level
twelfth
vertebra
(T12):
performed
on
one
hemithorax
(group
B,
Korean journal of anesthesiology,
Journal Year:
2022,
Volume and Issue:
75(4), P. 295 - 306
Published: April 4, 2022
Various
techniques
for
regional
anesthesia
and
analgesia
of
the
thorax
are
currently
being
used
in
clinical
practice.
A
recent
international
consensus
has
anatomically
classified
paraspinal
blocks
thoracic
spinal
region
into
following
four
types:
paravertebral,
retrolaminar,
erector
spinae
plane,
intertransverse
process
blocks.
These
have
different
anatomical
targets;
thus,
spreading
patterns
injectates
differ
can
consequently
exhibit
neural
blockade
characteristics.
The
paravertebral
block
directly
targets
space
just
outside
neuraxial
an
analgesic
efficacy
comparable
to
that
epidural
block;
however,
there
multiple
potential
risks
associated
with
this
technique.
Retrolaminar
plane
target
on
vertebral
lamina
transverse
process,
respectively.
In
studies,
these
two
showed
injectate
back
muscles
fascial
plane.
cadaveric
spread
was
identified,
but
variable.
However,
numerous
reports
shown
Both
been
found
reduce
postoperative
pain
compared
controls;
results
more
inconsistent
than
block.
Finally,
tissue
complex
posterior
superior
costotransverse
ligament.
Anatomical
studies
revealed
pathways
direct
closer
retrolaminar
Cadaveric
evaluations
consistently
promising
results;
further
using
technique
needed
confirm
findings.
Korean journal of anesthesiology,
Journal Year:
2022,
Volume and Issue:
75(3), P. 276 - 282
Published: Jan. 12, 2022
The
thoracic
retrolaminar
block
(TRLB)
is
a
relatively
new
regional
analgesia
technique
that
can
be
used
as
an
alternative
to
the
paravertebral
block.
This
study
aimed
evaluate
postoperative
effects
of
ultrasound-guided
TRLB
in
children
undergoing
open
cardiac
surgery
via
median
sternotomy
incision.Sixty-six
patients
aged
2-8
years
were
recruited.
In
group,
0.25%
bupivacaine
0.4
ml/kg
was
injected
into
space
on
both
sides
at
level
T4
lamina.
Patients
control
group
with
0.9%
saline.
primary
outcome
measure
fentanyl
consumption
first
24
h
post-extubation.
secondary
measures
total
intraoperative
consumption,
modified
objective
pain
score
(MOPS),
and
time
extubation.The
requirements
post-extubation
significantly
lower
(P
<
0.001)
(9.3
±
1.2;
6.9
2.1
μg/kg,
respectively)
than
(12.5
1.4;
16.6
2.8,
respectively).
(Q1,
Q3)
extubation
shorter
(2
[1,
3]
h)
(6
[4.5,
6]
h).
MOPS
0.05)
0,
2,
4,
8,
12
16
post-extubation.Bilateral
effective
providing
incision.
Eurasian Journal of Medicine,
Journal Year:
2023,
Volume and Issue:
54(Supp1), P. S97 - S105
Published: Jan. 18, 2023
Regional
anesthesia
has
benefits
beyond
just
treating
acute
postoperative
pain.
Interfascial
plane
blocks,
which
have
been
very
popular
with
ultrasound
in
recent
years,
function
primarily
by
administering
a
high
volume
of
local
anesthetic
to
the
fascial
plane.
Contrary
traditional
peripheral
nerve
targeted
or
structure
interfacial
blocks
is
not
fully
defined,
and
indications
revealed
yet.
Anatomical,
cadaveric,
radiological
studies
show
how
effective
interfascial
play
role.
This
review
focuses
on
benefits,
techniques,
indications,
complications
context
breast,
thoracic,
orthopedic
surgery.
Minerva Anestesiologica,
Journal Year:
2023,
Volume and Issue:
89(12)
Published: Oct. 18, 2023
INTRODUCTION:
Postoperative
pain
has
always
been
a
difficult
problem
in
anesthesia
management.
The
neurological
block
technique
used
for
postoperative
analgesia
management,
but
compared
with
the
traditional
method,
effect
of
after
layer
is
still
controversial,
and
clear
literature
review
needed.
This
systematic
review's
goal
was
to
investigate
RLB's
impact
on
analgesia.EVIDENCE
ACQUISITION:
search
performed
using
PubMed,
Web
Science,
Embase,
Cochrane
Central
Register
Controlled
Trials
(CENTRAL)
databases.
Patients
aged
18
years
who
underwent
retrolaminar
were
considered
eligible.
article
must
report
results
original
study
related
analgesia.
characteristics
sample
evaluating
RLB
extracted
from
each
included
concluded.EVIDENCE
SYNTHESIS:
Eleven
randomized
controlled
trials
(726
patients)
included.
After
summarizing
analysis
changing
indexes
different
surgeries,
we
concluded
that
PVB
better
RLB.
analgesic
provides
advantages
EPSB,
SCPB,
etc.CONCLUSIONS:
Based
this
review,
can
be
applied
thoracic
surgery,
abdominal
surgery
parotid
its
not
significant
enough,
further
research
needed
future
provide
stronger
evidence
surgical
patients.
European Spine Journal,
Journal Year:
2024,
Volume and Issue:
unknown
Published: June 17, 2024
Abstract
Purpose
Spinal
decompression
surgery
causes
severe
pain.
Retrolaminar
block
(RLB)
is
block,
which
done
by
infiltration
of
local
anesthetic
to
spinal
nerves
between
the
lamina
and
superior
costotransversospinalis
muscle.
The
primary
aim
this
study
evaluate
effectiveness
RLB
on
postoperative
analgesia
in
patients
undergoing
surgery.
Secondary
aims
are
effects
additional
analgesic
consumption.
Methods
sixty
(60)
who
underwent
lumbar
May
2020
2021
under
general
anesthesia
with
or
without
applied
preemptive
for
were
included
prospective
observational
study.
Group
I
received
ultrasound-guided
RLB.
In
II,
no
intervention
was
performed.
Postoperative
VAS
scores
compared
groups
as
outcome,
perioperative
needs
secondary
outcome.
Results
There
a
significant
difference
favor
group
terms
at
rest
[1.33
(0.33–3.509)]
movement
[2.40
(1.20–4.00)]
(
p
<
0.001).
Perioperative
sevoflurane
consumption
significantly
low
tramadol
lower
II
[Group
1:
200
(100–300);
2:
37.5
(0–200);
0.001].
Conclusion
Preemptive
may
be
used
reduce
patients'
pain
well
part
multimodal
regimen
drug
Trial
registration
number
ClinicalTrials.gov
(No.
NCT04209907).
Research Square (Research Square),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Feb. 22, 2024
AbstractObjective:This
study
aims
to
compare
the
analgesic
efficacy
of
erector
spinae
plane
block
(ESPB),
retrolaminar
(RLB),
and
paravertebral
(TPVB)
in
single-incision
video-assisted
thoracoscopic
surgery
(VATS).
Additionally,
ESPB
RLB
are
investigated
as
potential
secondary
options
cases
where
TPVB
is
contraindicated
or
unsuccessful.Methods：A
total
76
patients
underwent
general
anesthesia
induction
followed
by
nerve
under
ultrasound
guidance,
with
20
ml
0.5%
ropivacaine
administered
each.
Recorded
parameters
included
NRS
scores'
AUC
during
rest
coughing
over
first
24
postoperative
hours,
preoperative
(24h
48h)
plasma
biomarker
levels,
perioperative
opioid
consumption,
time
use,
arterial
blood
gas
analysis,
white
cell
count
(WBC),
high-sensitivity
C-reactive
protein
(hs-CRP),
QoR-15
scores,
incidence
nausea
vomiting
(PONV),
bowel
function
recovery,
length
hospital
stay
(LOS),
adverse
events.Results:The
for
Group
E
(107.8±10.53)
R
(104.8±8.05)
compared
P
(103.6±10.42)
had
differences
4.2±3.0
(95%
CI
-1.82
10.22)
1.2±2.6
-3.97
6.37),
respectively,
lower
limits
95%
confidence
interval
(CI)
exceeding
non-inferiority
margin.
IL-6,
IL-8,
IL-1β,
TNF-α
at
48h
postoperatively
showed
no
significant
differences.
At
24h,
IL-10
levels
were
comparable,
48h,
group
T
exhibited
higher
than
E.
There
statistical
WBC,
hs-CRP,
Glu,
Lac
LOS
(P>0.05).
The
from
completion
incision
(P=0.996),
but
four
experienced
hypertension
incision,
one
R,
none
(P=0.047).
Regarding
events,
patient
each
Groups
hypotension,
while
hypotension
(P=0.142).
No
PONV
other
complications
observed.Conclusion:ESPB
can
provide
effects
VATS
that
non-inferior
TPVB,
added
benefit
improved
safety.
They
represent
effective
alternative
TPVB.Trial
registration:Chinese
Clinical
Trial
Register
(identifier:
ChiCTR2300069985).
