Celiac Plexus Block
Procedure is perform for inveterate intractable abdominal pain triggered by :
Coeliac Plexus
The coeliac plexus includes a number of smaller plexus :
Sympathetic nerve fibers from celiac rete innervates :
Celiac plexus dwell behind and in front of aorta .
coeliac plexus lie in anterior to Thoracic vertebrae T12 and Lumbar vertebrae L1 .
Procedure : Patient is brought in the operating room . suggest to lie in prostrate place with pillow under stomach . Patient is sedated with intravenous sedation if needed . pelt and subcutaneous tissue paper is anesthetized with local anaesthesia . Local anaesthesia used is Xylocaine 1 % . Lidocaine injected using 23 G needle . entire intensity purpose is 2 to 3 ccs .
routine is perform using figure intensifier ( portable x - beam of light machine ) . Antero - posterior , sidelong and devious view economic consumption for phonograph needle placement . Live intermittent and uninterrupted x - ray moving-picture show are view .
Needle is post under anaesthesia in front of aorta . Two Needles are place on each side : right and result side . 10 - ray antero - ulterior and lateral view is used for point acerate leaf steer over celiac plexus . Aspiration tryout is execute to check aspiration of blood .
Dye subject point dye is spreading in linear mode in cephalic and caudal direction on both side . Antero - posterior view and sidelong ( side ) view is checked to confirmed the dyestuff spread .
Celiac Plexus Block :
intake test is performed to determine acerate leaf location in line vessels . Medications interpose at each side once all tryout are indicating needle is not in blood vessel.20 ccs of 0.5 % Marcaine injected on each side . Needle softly removed .
