Sekiguchi Shunya, Ishida Yusuke, Tomino Mikiko, Ohseto Kiyoshige
Department of Anesthesiology, Tokyo Medical University Hospital, Shinjuku-ku, Tokyo, Japan.
Palliat Med Rep. 2023 Sep 28;4(1):274-277. doi: 10.1089/pmr.2023.0031. eCollection 2023.
Splanchnic nerve block is considered to be effective for abdominal visceral pain, and is performed for the purpose of controlling abdominal pain and back pain caused by upper abdominal cancer. The patients in this case report were candidates for splanchnic nerve block owing to cancer-associated pain. However, because they could not assume the prone position that is required for the block owing to their pain, combined epidural anesthesia was used, resulting in successful implementation of the splanchnic nerve block. Patients who are candidates for splanchnic nerve block often have advanced cancer, and it is hence often difficult to secure and maintain the position required for the procedure owing to their severe pain. The two patients presented here suggest the possibility that epidural anesthesia might be useful as an adjunct in such cases.
内脏神经阻滞被认为对腹部内脏疼痛有效，其实施目的是控制上腹部癌症引起的腹痛和背痛。本病例报告中的患者因癌症相关疼痛而成为内脏神经阻滞的候选对象。然而，由于疼痛，他们无法采取阻滞所需的俯卧位，因此采用了联合硬膜外麻醉，从而成功实施了内脏神经阻滞。内脏神经阻滞的候选患者通常患有晚期癌症，因此由于疼痛严重，往往难以确保并维持该操作所需的体位。此处介绍的两名患者表明，在这种情况下硬膜外麻醉作为辅助手段可能有用。
