The Retro Superior Costotransverse Ligament Space as a New Target for Ultrasound-Guided Intertransverse Process Block: A Report of 2 Cases
7
Issued Date
2022-07-01
Resource Type
eISSN
25753126
Scopus ID
2-s2.0-85135203072
Pubmed ID
35867848
Journal Title
A&A practice
Volume
16
Issue
7
Rights Holder(s)
SCOPUS
Bibliographic Citation
A&A practice Vol.16 No.7 (2022) , e01610
Suggested Citation
Karmakar M.K., Sivakumar R.K., Sheah K., Pangthipampai P., Lönnqvist P.A. The Retro Superior Costotransverse Ligament Space as a New Target for Ultrasound-Guided Intertransverse Process Block: A Report of 2 Cases. A&A practice Vol.16 No.7 (2022) , e01610. doi:10.1213/XAA.0000000000001610 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/85743
Title
The Retro Superior Costotransverse Ligament Space as a New Target for Ultrasound-Guided Intertransverse Process Block: A Report of 2 Cases
Other Contributor(s)
Abstract
An intertransverse process block (ITPB) is a paraspinal thoracic nerve block technique, where the local anesthetic (LA) is injected into the thoracic intertransverse tissue complex posterior to the superior costotransverse ligament (SCTL). Although an ITPB can be ultrasound-guided, it is performed using surrogate bony landmarks without even identifying the SCTL. This report describes a transverse ultrasound imaging technique to identify the retro-SCTL space and perform an ITPB with a retro-SCTL space injection, in 2 patients undergoing video-assisted thoracoscopic surgery. The resultant bilateral, symmetrical, thoracolumbar anesthesia was consistent with epidural spread of the LA and effective for perioperative analgesia.