Ultrasound Guided Intercostal Nerve Steroid Injection

Author

Shankar Hariharan, M.D.
Associate Professor
Department of Anesthesiology
Medical College of Wisconsin & Zablocki VA Medical Center
Milwaukee, Wisconsin

Commentary

Bernhard Moriggl, M.D.
Professor
University of Innsbruck
Innsbruck, Austria

Introduction - TOP

In the perioperative setting, intercostal nerve blocks have been in use for many decades.1 By their constant location, they provide an easy target for access in interventions. Intercostal nerves have been blocked with local anesthetics, steroids and have also undergone neurolysis in the management of chronic chest wall pain originating from the nerves.2,3,4,5 The causes for these types of pain range from trauma, cancer, post herpetic neuralgia, iatrogenic following thoracotomy or chest tube placement.6

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