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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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Spinal Nerves: Plexus I01:22

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Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
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Updated: Oct 26, 2025

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Celiac Plexus Block - An Old Technique with New Developments.

Saurabh Vig1, Swati Bhan1, Sushma Bhatnagar2

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This summary is machine-generated.

Celiac plexus block (CPB) effectively manages pancreatic cancer pain. While fluoroscopy-guided CPB is common, no single technique is superior, with choices depending on physician preference and practice.

Keywords:
coeliac plexus blockcoeliac plexus neurolysisPancreatic cancer

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Area of Science:

  • Interventional Pain Management
  • Oncology
  • Gastroenterology

Background:

  • Celiac plexus block (CPB) is an established interventional technique for managing abdominal pain associated with pancreatic cancer.
  • The efficacy of CPB in alleviating cancer-related pain has been recognized in clinical practice.

Purpose of the Study:

  • To trace the historical development and evolution of CPB as an analgesic intervention.
  • To assess the current standing of CPB in the management of cancer pain.

Main Methods:

  • A comprehensive literature search was conducted using PubMed for studies on celiac plexus block, neurolysis, and pancreatic cancer pain.
  • Inclusion criteria focused on randomized controlled trials and case series with over 10 patients.
  • A secondary reference search was performed to identify additional relevant studies.

Main Results:

  • Forty-four studies were included in this descriptive review.
  • Evidence was categorized by imaging guidance techniques (fluoroscopy, CT, ultrasound).
  • Studies were tabulated by design, patient numbers, CPB technique, and outcomes.

Conclusions:

  • Fluoroscopy-guided CPB is the most frequently studied technique, followed by CT-guided and ultrasound-guided methods.
  • Current evidence does not establish a definitive gold standard technique for CPB.
  • The selection of a specific CPB technique is influenced by physician preference, expertise, and institutional protocols.