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Global Journal of
Anesthesiology
ISSN: 2455-3476
Peertechz Journals
Review Article
Local Anaesthetic Myotoxicity Due to
Fascial Plane Blocks: A Brief Review
 Abhijit S Nair*
 Corresponding author: Dr. Abhijit S Nair, Consultant
Anesthesiologist, Department of Anesthesia and Pain
Medicine, Basavatarakam Indo-American Cancer Hospital and
Research Centre, Hyderabad- 500034, India,
 Dates: Received: 09 January, 2017; Accepted: 17 January,
2017; Published: 23 January, 2017.
 Citation: Nair AS (2017) Local Anaesthetic Myotoxicity Due to
Fascial Plane Blocks: A Brief Review. Glob J Anesth 4(1): 001-
003. DOI: http://doi.org/10.17352/2455- 3476.000028
Abstract
Fascial plane blocks have become quite popular in the present practice of
regional anaesthesia. Transverses abdominal plane (TAP) block, quadratus
lumborum (QL), serratus anterior plane (SAP) block, pectoralis block (PECS 1/
2), rectus sheath and adductor canal block are quite easy to perform with
ultrasonographic (USG) guidance. The anaesthesiologist identifi es the
muscles and the relevant fascial plane to inject the local anaesthetic (LA) in
the desired plane under USG guidance. Current prospective and observational
studies have shown that these are quite effective as a single injection and can
be used for continuous analgesia with an indwelling catheter in the fascial
plane. All fascial plane blocks are transmuscular injections i.e. the needle has
to reach the target plane by piercing the adjoining muscles. There are high
chances of LA injection in the muscle or spillage of LA in the substance of
muscle especially after high volume LA injections. The possibility is more
when an anaesthesiologist has recently learnt a fascial plane block and is
applying it in clinical practice. The myotoxicity could be more profound in
continuous LA infusions where the muscle will get continuously exposed to LA.
Thank you
For more information Read Online Article…
https://www.peertechz.com/articles/local-anaesthetic-
myotoxicity-due-to-fascial-plane-blocks-a-brief-review.pdf
For
Full
Article
PDF

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local-anaesthetic-myotoxicity-due-to-fascial-plane-blocks-a-brief-review-global-journal-of-anesthesiology-peertechz-journals

  • 1. Global Journal of Anesthesiology ISSN: 2455-3476 Peertechz Journals
  • 2. Review Article Local Anaesthetic Myotoxicity Due to Fascial Plane Blocks: A Brief Review  Abhijit S Nair*  Corresponding author: Dr. Abhijit S Nair, Consultant Anesthesiologist, Department of Anesthesia and Pain Medicine, Basavatarakam Indo-American Cancer Hospital and Research Centre, Hyderabad- 500034, India,  Dates: Received: 09 January, 2017; Accepted: 17 January, 2017; Published: 23 January, 2017.  Citation: Nair AS (2017) Local Anaesthetic Myotoxicity Due to Fascial Plane Blocks: A Brief Review. Glob J Anesth 4(1): 001- 003. DOI: http://doi.org/10.17352/2455- 3476.000028
  • 3. Abstract Fascial plane blocks have become quite popular in the present practice of regional anaesthesia. Transverses abdominal plane (TAP) block, quadratus lumborum (QL), serratus anterior plane (SAP) block, pectoralis block (PECS 1/ 2), rectus sheath and adductor canal block are quite easy to perform with ultrasonographic (USG) guidance. The anaesthesiologist identifi es the muscles and the relevant fascial plane to inject the local anaesthetic (LA) in the desired plane under USG guidance. Current prospective and observational studies have shown that these are quite effective as a single injection and can be used for continuous analgesia with an indwelling catheter in the fascial plane. All fascial plane blocks are transmuscular injections i.e. the needle has to reach the target plane by piercing the adjoining muscles. There are high chances of LA injection in the muscle or spillage of LA in the substance of muscle especially after high volume LA injections. The possibility is more when an anaesthesiologist has recently learnt a fascial plane block and is applying it in clinical practice. The myotoxicity could be more profound in continuous LA infusions where the muscle will get continuously exposed to LA.
  • 4. Thank you For more information Read Online Article… https://www.peertechz.com/articles/local-anaesthetic- myotoxicity-due-to-fascial-plane-blocks-a-brief-review.pdf For Full Article PDF