I.Y. Yang, S. Oraee, C. Viejo, H. Stern British Journal of Anaesthesia

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Presentation transcript:

Transcrural coeliac plexus block simulated on 200 computed tomography images I.Y. Yang, S. Oraee, C. Viejo, H. Stern British Journal of Anaesthesia Volume 107, Issue 6, Pages 972-977 (December 2011) DOI: 10.1093/bja/aer297 Copyright © 2011 The Author(s) Terms and Conditions

Fig 1 Simulating transcrural coeliac plexus block on a CT image across the coeliac trunk. T12, the 12th thoracic vertebral body; S, the spinous process of the vertebral body; Coeliac, the coeliac trunk; IVC, the inferior vena cava; ErS, the distance from the midline to the right needle entry point; ElS, the distance from the midline to the left needle entry point; Ar, the right needle insertion angle; Al, the left needle insertion angle; d, the depth from the anterior margin of the vertebral body to the base of the coeliac trunk representing the endpoint of the needle advancement; and Cr, the crus of the diaphragm. British Journal of Anaesthesia 2011 107, 972-977DOI: (10.1093/bja/aer297) Copyright © 2011 The Author(s) Terms and Conditions

Fig 2 Failed needle trajectories. (a) Failed right-sided needle trajectory (broken line with an arrow) due to close proximity of the liver to the vertebra, (b) failed left-sided needle trajectory (broken line with an arrow) due to close proximity of the left kidney to the vertebra, (c) failed bilateral needle trajectories (broken lines with arrows) due to close proximity of the liver and the left kidney to the vertebra. Coeliac, the coeliac trunk; IVC, the inferior vena cava. British Journal of Anaesthesia 2011 107, 972-977DOI: (10.1093/bja/aer297) Copyright © 2011 The Author(s) Terms and Conditions