Earticle

초록

영어

The transversus abdominis plane (TAP) block is utilized for managing somatic pain in the anterolateral abdominal wall. In cases of intractable cancer pain, neurolytic TAP block using alcohol can provide long-term relief. However, reports on TAP neurolysis remain limited, and the concentration and dosage of alcohol vary widely. High concentrations (80–100%) are commonly used for neurolysis, but they carry risks of neurotoxicity and injection-related pain. In an effort to reduce these adverse effects, we explored the use of a moderate alcohol concentration for pain management. TAP neurolysis was performed by sequential injection of 0.75% ropivacaine followed by a mixture of ropivacaine and 100% alcohol within the TAP space, resulting in a final total volume of approximately 15 mL with an estimated alcohol concentration of 50%. The patient experienced immediate and sustained relief from right flank pain without procedural complications. This case suggests that a moderate concentration of alcohol may effectively manage cancer-related abdominal wall pain while minimizing the associated risks. Further prospective studies are needed to establish optimal concentrations and dosages for TAP neurolysis.

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Abstract
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키워드

저자

• Jun Seog Lee [ 이준석 | Department of Anesthesiology and Pain Medicine, Daegu Catholic University School of Medicine, Daegu, Korea ]
• Dong Hyuck Kim [ 김동혁 | Department of Anesthesiology and Pain Medicine, Daegu Catholic University School of Medicine, Daegu, Korea ]
• Min Sung Kim [ 김민성 | Department of Anesthesiology and Pain Medicine, Daegu Catholic University School of Medicine, Daegu, Korea ]
• Jin Yong Jung [ 정진용 | Department of Anesthesiology and Pain Medicine, Daegu Catholic University School of Medicine, Daegu, Korea ] Corresponding Author

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발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  Pain Bulletin

• 간기

  반년간

• pISSN

  2951-3782

• eISSN

  3140-3689

• 수록기간

  2022~2026

• 십진분류

  KDC 514 DDC 617