Evidence map›Paper›PMID 39829201›Full record

ArticleKorean journal of anesthesiology2025

Modified approach to external oblique intercostal block: a proof-of-concept pilot case series and anatomical evaluation -a case series.

Takashi Fujino, Koichiro Ichimura, Hidaka Anetai, Izumi Kawagoe

Abstract readCase Reports
In one paragraph

Article in Korean journal of anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Takashi FujinoDepartment of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, Tokyo, Japan.
Koichiro IchimuraDepartment of Anatomy and Life Structure, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Hidaka AnetaiDepartment of Anatomy and Life Structure, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Izumi KawagoeDepartment of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegional anesthesia techniques that provide analgesia to the entire lateral abdomen are limited. We present a modified external oblique intercostal block for complete lateral abdominal analgesia with a single injection. CASE: We performed a modified version of the external oblique intercostal block unilaterally at the tenth rib along the mid-axillary line in three patients undergoing robot-assisted partial nephrectomy (two single injections, one catheter placement) and tested the technique on a cadaver with 20 ml of dye bilaterally. All patients reported good postoperative pain relief without complications and had consistent sensory coverage of the T8-T12 dermatomes from the anterior-to-posterior axillary line. Anatomical assessment confirmed consistent bilateral staining of the lateral cutaneous branches T8-T12.

conclusionsConclusions: The initial clinical success and anatomical findings of the modified approach to the external oblique intercostal block suggest that this technique may be an effective option for lateral abdominal analgesia.

Indexed as

Intercostal MusclesIntercostal NervesNerve BlockPostoperative PainAnesthetics, LocalCadaverHumansPilot ProjectsProof of Concept StudyRobotic Surgical ProceduresAnesthetics, LocalAbdominal oblique musclesAcute painAnesthesia, conductionExternal oblique muscleIntercostal nervesNerve blockPain, postoperative

Identifiers

PMID39829201
PMCPMC12013986

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Registered trials

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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.