Year 2021 / Volume 28 / Number 6

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Cilinical Note

Retrolaminar ultrasound guided block as analgesic treatment for post herpetic neuralgia: case report

Rev. Soc. Esp. Dolor. 2021; 28(6): 350-353 / DOI: 10.20986/resed.2022.3920/2021

Carlos Restrepo, Hugo David Orozco, Paola Chinchilla, Daniela Hincapié, Susana Echavarría, Juan Esteban Puerta


ABSTRACT

Interfacial plane blocks (IPB) are the result of the injection of an anesthetic locally in the space created between two fasciae with the purpose of distributing the volume of the medication and block the transmission of the corresponding nerves. The introduction of IPB as an analgesic anesthetic technic is relatively resent, and its widespread and standardization this last few years has come by hand of the ultrasound, as a result the safety and efficiency of the IPB has increased. The retrolaminar block (RB) and the Spinal erector plane block (SPB) share characteristics and could be considered as an alternative to manage the thoracic wall pain pathologies, keeping in mind that the RB is of choice for patients in danger of suffering a pneumothorax or in those in which there is an inappropriate anatomic visualization though the echography for the SPB. In this article a case of a patient with acute neuralgia due to herpes zoster who received a successful RB is described.



RESUMEN

Los bloqueos interfasciales (BIF) son el resultado de inyectar un anestésico local en el espacio comprendido entre dos fascias con el objetivo de distribuir el volumen y bloquear la transmisión nerviosa correspondiente. La introducción de los BIF como técnica anestésico-analgésica es relativamente reciente. Su amplia difusión y estandarización en estos últimos años ha venido de la mano del uso de ultrasonidos; como resultado ha aumentado la eficacia de los bloqueos y la seguridad en la práctica de los mismos. El bloqueo retrolaminar (RL) y el bloqueo del plano del erector espinal (ESP) comparten características similares y pueden considerarse una alternativa analgésica para los dolores relacionados con afectación de la pared torácica, siendo el bloqueo RL de gran valor en pacientes con riesgo de neumotórax o en quienes no se obtenga adecuada visualización de la sonoanatomía para el bloqueo ESP. Se describe el caso de un paciente con neuralgia aguda por herpes zóster, a quien se le realizó un bloqueo RL exitoso.





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Bibliografía

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Instrucciones para citar

Restrepo C, Orozco H, Chinchilla P, Hincapié D, Echavarría S, Puerta J, et all. Retrolaminar ultrasound guided block as analgesic treatment for post herpetic neuralgia: case report. Rev Soc Esp Dolor 2021; 28(6): 350-353 / DOI: 1020986/resed20223920/2021


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Ficha Técnica

Recibido: 08/05/2021

Aceptado: 26/01/2022

Prepublicado: 31/01/2022

Publicado: 18/04/2022

Tiempo de revisión del artículo: 179 días

Tiempo de prepublicación: 268 días

Tiempo de edición del artículo: 345 días


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