Pathways of anesthetic from the thoracic paravertebral region to the celiac ganglion
(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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/330138
- author
- Saito, T ; Tanuma, K ; Den, S ; Tanuma, Y ; Miyakawa, K ; Carney, E and Carlsson, Christer L LU
- organization
- publishing date
- 2002
- 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 Inc.
- 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
- 2016-04-01 11:59:17
- date last changed
- 2022-03-20 21:50:06
@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}},
keywords = {{ganglion; celiac; celiac block; paravertebral anesthesia; paravertebral region; endothoracic fascia; transversalis fascia}},
language = {{eng}},
number = {{5}},
pages = {{340--344}},
publisher = {{John Wiley & Sons Inc.}},
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}},
doi = {{10.1002/ca.10036}},
volume = {{15}},
year = {{2002}},
}