Fascial-sheath regional anesthesia for operations on the anterior abdominal wall and abdominal organs

Abstract

The use of central segmental blockades (spinal and epidural) is associated with a large number of contraindications and complications including life-threatening. The combination of general anesthesia with opioids is associated with a slow recovery of the gastrointestinal tract and other side effects of their systemic application. Therefore the search for alternative methods of pain relief in the context of Enhanced Recovery After Surgery protocols is becoming an increasingly relevant research topicn. Relative to central blocks, the fascial sheath block of peripheral nerves under ultrasound guidance is a technically simple and safe technique. This article provides a brief overview of the main blocks used for anesthesia of the anterior abdominal wall.