Interpleural block

Interpleural block is a type of regional anesthesia that involves the injection of local anesthetic into the pleural cavity, the space between the two layers of the pleura that surround the lungs. This technique is used to provide pain relief for a variety of thoracic and abdominal procedures.

Indications

Interpleural block is indicated for pain management in patients undergoing thoracic or abdominal surgery. It can also be used for pain relief in patients with rib fractures, herpes zoster, or other conditions causing chest or abdominal pain.

Contraindications

Contraindications to interpleural block include infection at the injection site, patient refusal or inability to cooperate, and known allergy to the local anesthetic. It is also contraindicated in patients with pre-existing lung disease or abnormal coagulation.

Technique

The technique for interpleural block involves the injection of local anesthetic into the pleural cavity. This is usually done under ultrasound guidance to ensure accurate placement of the needle. The patient is typically in a sitting or lateral position during the procedure.

Complications

Possible complications of interpleural block include pneumothorax, hemothorax, local anesthetic toxicity, and failure of the block. These complications are rare and can be minimized with proper technique and patient monitoring.

See also

• Regional anesthesia
• Pleural cavity
• Pleura
• Ultrasound

References

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