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Regional Anesthesia in Pain Management

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Anesthesiology".

Deadline for manuscript submissions: closed (20 January 2026) | Viewed by 1742

Special Issue Editor


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Guest Editor
Department of Anesthesiology and Perioperative Medicine, Sidney Kimmel Medical College, Philadelphia, PA, USA
Interests: acute pain; perioperative medicine; general anesthesiology; regional anesthesia; orthopedic anesthesia; multimodal analgesia

Special Issue Information

Dear Colleagues,

Regional anesthesia continues to evolve as an important component of acute pain management and is not limited to only acute postsurgical pain. With the introduction of novel techniques, the use and application of regional anesthesia continue to widen. Regional anesthesia is an important component of multimodal analgesia. Recent research has shown the value of novel truncal blocks, including erector spinae, serratus anterior plane, and pectointercostal blocks, just to name a few, with indications in a wide range of settings, including rib fractures, sternotomy pain, and acute pain secondary to breast cancer surgery. With the range of novel regional anesthesia techniques, it is important to thoroughly vet the literature to ensure these techniques provide value and improve outcomes. The aim of this issue would be to explore advances in regional anesthesia and how they improve not only pain but other health-related outcomes as well as increase access and decrease disparities.

Dr. Jaime L. Baratta
Guest Editor

Manuscript Submission Information

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Keywords

  • acute pain
  • perioperative medicine
  • general anesthesiology
  • regional anesthesia
  • orthopedic anesthesia
  • multimodal analgesia

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Published Papers (1 paper)

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Review

16 pages, 2037 KB  
Review
Analgesia for Upper Abdominal Surgery, a Scoping Review of the Current Fascial Plane Block Techniques
by Maria T. Fernandez Martin, Edward R. Mariano, Luis F. Valdes-Vilches, Servando Lopez Alvarez and Nabil Elkassabany
J. Clin. Med. 2025, 14(24), 8632; https://doi.org/10.3390/jcm14248632 - 5 Dec 2025
Viewed by 1498
Abstract
Effective pain management following upper abdominal surgery, particularly in the area between the lower costal margin and the umbilicus, remains a clinical challenge. The sixth to eleventh intercostal nerves provide sensory innervation not only to this area but also to the area directly [...] Read more.
Effective pain management following upper abdominal surgery, particularly in the area between the lower costal margin and the umbilicus, remains a clinical challenge. The sixth to eleventh intercostal nerves provide sensory innervation not only to this area but also to the area directly below the umbilicus, and various regional anaesthesia techniques have been described to block these nerves and reduce postoperative pain. Over the past decade, several approaches have emerged that target these nerves within the relatively confined anatomical space between the anterior axillary line and the midline. This review explores the various techniques employed to block the lower intercostal nerves, focusing on the anatomical, sonographic, and technical considerations of each technique. Traditional and contemporary approaches to providing analgesia to the upper abdominal wall will be discussed. An understanding of the differences and/or similarities of the sono-anatomy of the target fascial planes is crucial for success when performing these blocks. Further research to identify the most effective and reliable regional techniques for upper abdominal surgery is still needed. Full article
(This article belongs to the Special Issue Regional Anesthesia in Pain Management)
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