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Pathways of anesthetic from the thoracic paravertebral region to the celiac ganglion

Saito, T; Tanuma, K; Den, S; Tanuma, Y; Miyakawa, K; Carney, E and Carlsson, Christer L LU (2002) In Clinical Anatomy 15(5). p.340-344
Abstract
Communication between the lower thoracic paravertebral region and the celiac ganglion through the retrocrural space was investigated. After dye was injected into the endothoracic fascia in the lower thoracic paravertebral region at the T11 level, its spread to the celiac ganglion was examined in fifteen cadavers. The dye reached the celiac ganglion in nine cadavers (60%) by passing through the retrocrural space, along the greater and lesser splanchnic nerves and through the split in the crus of the diaphragm through which the splanchnic nerves traveled. In the remaining six cadavers, dye spread toward the ganglion along the crus of the diaphragm. In three living subjects the spread of a radio-opaque dye injected in the same manner was... (More)
Communication between the lower thoracic paravertebral region and the celiac ganglion through the retrocrural space was investigated. After dye was injected into the endothoracic fascia in the lower thoracic paravertebral region at the T11 level, its spread to the celiac ganglion was examined in fifteen cadavers. The dye reached the celiac ganglion in nine cadavers (60%) by passing through the retrocrural space, along the greater and lesser splanchnic nerves and through the split in the crus of the diaphragm through which the splanchnic nerves traveled. In the remaining six cadavers, dye spread toward the ganglion along the crus of the diaphragm. In three living subjects the spread of a radio-opaque dye injected in the same manner was studied using 3D-computed tomography. This study confirmed that the radio-opaque dye traveled toward the celiac ganglion along the crus of the diaphragm. From our results we suggest that a fluid communication may exist between the lower thoracic paravertebral region and the celiac ganglion in cadavers and in living humans and that clinicians should be aware of this possible route of spread when administering lower thoracic paravertebral anesthesia. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
ganglion, celiac, celiac block, paravertebral anesthesia, paravertebral region, endothoracic fascia, transversalis fascia
in
Clinical Anatomy
volume
15
issue
5
pages
340 - 344
publisher
John Wiley & Sons
external identifiers
  • wos:000177652400005
  • pmid:12203377
  • scopus:0036351005
ISSN
0897-3806
DOI
10.1002/ca.10036
language
English
LU publication?
yes
id
558fc4eb-8f31-48b9-a504-4b6bd08cf05f (old id 330138)
date added to LUP
2007-11-07 17:47:02
date last changed
2017-08-20 03:36:13
@article{558fc4eb-8f31-48b9-a504-4b6bd08cf05f,
  abstract     = {Communication between the lower thoracic paravertebral region and the celiac ganglion through the retrocrural space was investigated. After dye was injected into the endothoracic fascia in the lower thoracic paravertebral region at the T11 level, its spread to the celiac ganglion was examined in fifteen cadavers. The dye reached the celiac ganglion in nine cadavers (60%) by passing through the retrocrural space, along the greater and lesser splanchnic nerves and through the split in the crus of the diaphragm through which the splanchnic nerves traveled. In the remaining six cadavers, dye spread toward the ganglion along the crus of the diaphragm. In three living subjects the spread of a radio-opaque dye injected in the same manner was studied using 3D-computed tomography. This study confirmed that the radio-opaque dye traveled toward the celiac ganglion along the crus of the diaphragm. From our results we suggest that a fluid communication may exist between the lower thoracic paravertebral region and the celiac ganglion in cadavers and in living humans and that clinicians should be aware of this possible route of spread when administering lower thoracic paravertebral anesthesia.},
  author       = {Saito, T and Tanuma, K and Den, S and Tanuma, Y and Miyakawa, K and Carney, E and Carlsson, Christer L},
  issn         = {0897-3806},
  keyword      = {ganglion,celiac,celiac block,paravertebral anesthesia,paravertebral region,endothoracic fascia,transversalis fascia},
  language     = {eng},
  number       = {5},
  pages        = {340--344},
  publisher    = {John Wiley & Sons},
  series       = {Clinical Anatomy},
  title        = {Pathways of anesthetic from the thoracic paravertebral region to the celiac ganglion},
  url          = {http://dx.doi.org/10.1002/ca.10036},
  volume       = {15},
  year         = {2002},
}