Servicios Profesionales de Anestesiologa y

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ONE NEEDLE TRANS-AORTIC AND RETROCRURAL
NEUROLYTIC CELIAC PLEXUS BLOCK FOR SEVERE UPPER
ABDOMINAL CANCER PAIN
V. Whizar-Lugo, F. Anzorena-Vallarino, R.
Estrada-Coronado, C. Solar-Labastida, C.
Segovia-García, J. Saldaña-Huerta
Servicios Profesionales de Anestesiología
y Medicina del Dolor Centro Médico del
Noroeste Tijuana BC, México
www.anestesia-dolor.org painless_at_prontomx.com
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One Needle,Trans-Aortic and RetrocruralCeliac
Plexus NeurolysisAim of the study

• To investigate the usefulness of a single needle
  injection to perform a pre-aortic and retrocrural
  Celiac Plexus Neurolysis in opioid resistant
  cancer pain patients, who have anatomy distortion
• To determine the pre-crural and retro-crural
  neurolytic spread
• To determine side effects and complications of
  this technique

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Anatomy and Neurolytic Agent Diffusion
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Celiac plexus neurolysis techniques
According with neddle placement
RETROCRURAL Standard Two needless with posterior
approach PRECRURAL Posterior approach Trans-aorti
c Trans-crural Anterior approach Trans-hepatic Tra
ns-gastric RETRO and PRECRURAL Posterior
approach One needle technique
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R e s u l t s
Analgesia (VAS) and Opiod Reduction
P lt 0.01
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C o m p l i c a t i o n s
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ONE NEEDLE CELIAC PLEXUS NEUROLYSIS
TRANS-AORTIC AND RETROCRURAL

• C o n c l
  u s i o n s
• This technique is usefull in patients with opioid
  resistant upper abdominal cancer pain, who have
  local anatomy distortion
• It is a safe, and easy procedure
• No neuro-vascular complications were seen
• Satisfactory analgesia was achieved
• Total opioid intake was reduced