Evidence map›Paper›PMID 35999334›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2022

Novel external oblique muscle plane block for blockade of the lateral abdominal wall: a pilot study on volunteers.

Yuichi Ohgoshi, Izumi Kawagoe, Aki Ando, Maria Ikegami, Sayako Hanai, Koichiro Ichimura

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07055438 (Analgesic Efficacy of Ultrasound Guided Bilateral External Oblique Intercostal Plane Block Versus Rectus Sheath Block in Upper Abdominal Surgeries), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07055438 nacompletednot on this mapstarted 2025, after this paper: background citation

Analgesic Efficacy of Ultrasound Guided Bilateral External Oblique Intercostal Plane Block Versus Rectus Sheath Block in Upper Abdominal Surgeries: A Randomized Double-blinded Controlled Study

TypeinterventionalSponsorKasr El Aini HospitalRan2025 to 2025Enrolled40ConditionsPost Operative AnalgesiaArmsUltrasound guided Rectus sheath block, ultrasound guided external oblique intercostal plane block
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 29 citations in OpenAlex.

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  17. In reply: Comments on blockade of thoracoabdominal nerves through the perichondrial approach.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024
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  18. Comments on blockade of thoracoabdominal nerves through the perichondrial approach.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Yuichi OhgoshiDepartment of Anaesthesiology, Keiyu Hospital, 3-7-3 Minatomirai, Nishi-ku, Yokohama, Kanagawa, 220-8521, Japan. ohgoshi22@gmail.com.ORCID http://orcid.org/0000-0002-1164-7956
Izumi KawagoeDepartment of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, Tokyo, Japan.
Aki AndoDepartment of Anaesthesiology, Keiyu Hospital, 3-7-3 Minatomirai, Nishi-ku, Yokohama, Kanagawa, 220-8521, Japan.
Maria IkegamiDepartment of Anaesthesiology, Keiyu Hospital, 3-7-3 Minatomirai, Nishi-ku, Yokohama, Kanagawa, 220-8521, Japan.
Sayako HanaiDepartment of Anaesthesiology, Keiyu Hospital, 3-7-3 Minatomirai, Nishi-ku, Yokohama, Kanagawa, 220-8521, Japan.
Koichiro IchimuraDepartment of Anatomy and Life Structure, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Juntendo University · JPkeiyu Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNo reports have described techniques to efficiently anesthetize the lateral cutaneous branches of the entire abdomen. The aim of this study was to investigate an effective procedure for blocking the lateral cutaneous branches in the abdominal region. We sought to describe the sensory distribution of the previously described thoracoabdominal nerve block through perichondrial approach (TAPA) and the novel costal and lateral external oblique muscle plane (EXOP) blocks in healthy volunteers.

methodsThis was a proof-of-concept pilot study that comprised ten volunteers with an American Society of Anesthesiologists Physical Status I. The participants underwent modified TAPA (M-TAPA), injection 2 of TAPA (injection into the anterior aspect of the 10th costal cartilage: I2-TAPA), costal EXOP, and lateral EXOP blocks with injection of 20 mL of ropivacaine 0.2% for each block. A pinprick test was performed one hour after injection and repeated at 30-min intervals until the effect of the nerve block disappeared.

resultsThe M-TAPA injection anesthetized the anterior branches from T6/7 to T11/12, whereas the I2-TAPA injection had no effect. Costal and lateral EXOP injections anesthetized the lateral cutaneous branches of T7-10 and T11-12, respectively.

conclusionThe results of this pilot study in ten healthy volunteers indicate that novel EXOP blocks involving local anesthetic injection superficial to the external oblique muscle efficiently anesthetize the lateral cutaneous branches of the thoracoabdominal nerves. Our study shows that it may be anatomically plausible for the combined use of these blocks to anesthetize the entire abdominal wall.

Indexed as

Abdominal WallAnesthetics, LocalAbdominal MusclesAbdominal Oblique MusclesHealthy VolunteersHumansPilot ProjectsRopivacaineUltrasonography, InterventionalAnesthetics, LocalRopivacaineabdominal wallanesthesiaexternal oblique musclelateral cutaneous branch

Identifiers

PMID35999334
OpenAlexW4292767268

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.