Tags

Type your tag names separated by a space and hit enter

A prospective study to evaluate the efficacy of ultrasound-guided ganglion impar block in patients with chronic perineal pain.
Saudi J Anaesth 2019 Apr-Jun; 13(2):126-130SJ

Abstract

Background

The blockade of the ganglion impar has been described to relieve the intractable perineal pain of sympathetic origin in patients with coccydynia. Chronic perineal pain (CPP) has been effectively managed by ganglion impar block. The feasibility, safety, and efficacy of ultrasound (US)-guided ganglion impar block by transsacrococcygeal approach was analyzed in the present study.

Methods

A total of 15 patients with CPP were administered US-guided ganglion impar block using out of plane approach. Patients were followed for VAS and quality of life using Karnofsky performance status (KS), Linear Analog Scale Assessment (LASA), and constipation score up to 2 months at different time intervals. Time required to perform the procedure, number of attempts, and any complications were also noted.

Results

The mean time required to perform the procedure was 7.67 ± 1.23 min. There were no adverse events. All the patients had significant pain relief during 2 month follow-up (P < 0.05 compared to baseline VAS). The KS and LASA score improved post block which was statistically significant. The dose of nonsteroidal anti-inflammatory drugs (NSAIDS) decreased from preblock state with statistically significant difference, while the difference in dose of tramadol and morphine was statistically insignificant.

Conclusion

US-guided ganglion impar block is technically feasible and safe technique. USG can be used to locate sacrococcygeal junction (SCJ) and facilitate the performance of ganglion impar block. The efficacy and safety of the US-guided ganglion impar blockades needs a proper evaluation in the randomized controlled trials.

Authors+Show Affiliations

Department of Anaesthesiology, PGIMS, Rohtak, Haryana, India.Department of Anaesthesiology, PGIMS, Rohtak, Haryana, India.Department of Postgraduate Student, PGIMS, Rohtak, Haryana, India.Department of Anaesthesiology, PGIMS, Rohtak, Haryana, India.Department of Surgery, PGIMS, Rohtak, Haryana, India.Department of Orthopedics, PGIMS, Rohtak, Haryana, India.Department of Anaesthesiology, PGIMS, Rohtak, Haryana, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31007658

Citation

Ghai, Anju, et al. "A Prospective Study to Evaluate the Efficacy of Ultrasound-guided Ganglion Impar Block in Patients With Chronic Perineal Pain." Saudi Journal of Anaesthesia, vol. 13, no. 2, 2019, pp. 126-130.
Ghai A, Jangra P, Wadhera S, et al. A prospective study to evaluate the efficacy of ultrasound-guided ganglion impar block in patients with chronic perineal pain. Saudi J Anaesth. 2019;13(2):126-130.
Ghai, A., Jangra, P., Wadhera, S., Kad, N., Karwasra, R. K., Sahu, A., & Jaiswal, R. (2019). A prospective study to evaluate the efficacy of ultrasound-guided ganglion impar block in patients with chronic perineal pain. Saudi Journal of Anaesthesia, 13(2), pp. 126-130. doi:10.4103/sja.SJA_667_18.
Ghai A, et al. A Prospective Study to Evaluate the Efficacy of Ultrasound-guided Ganglion Impar Block in Patients With Chronic Perineal Pain. Saudi J Anaesth. 2019;13(2):126-130. PubMed PMID: 31007658.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A prospective study to evaluate the efficacy of ultrasound-guided ganglion impar block in patients with chronic perineal pain. AU - Ghai,Anju, AU - Jangra,Priti, AU - Wadhera,Sarthak, AU - Kad,Nandita, AU - Karwasra,R K, AU - Sahu,Ankur, AU - Jaiswal,Rajmala, PY - 2019/4/23/entrez PY - 2019/4/23/pubmed PY - 2019/4/23/medline KW - Coccygodynia KW - ganglion impar block KW - pain KW - ultrasound guidance SP - 126 EP - 130 JF - Saudi journal of anaesthesia JO - Saudi J Anaesth VL - 13 IS - 2 N2 - Background: The blockade of the ganglion impar has been described to relieve the intractable perineal pain of sympathetic origin in patients with coccydynia. Chronic perineal pain (CPP) has been effectively managed by ganglion impar block. The feasibility, safety, and efficacy of ultrasound (US)-guided ganglion impar block by transsacrococcygeal approach was analyzed in the present study. Methods: A total of 15 patients with CPP were administered US-guided ganglion impar block using out of plane approach. Patients were followed for VAS and quality of life using Karnofsky performance status (KS), Linear Analog Scale Assessment (LASA), and constipation score up to 2 months at different time intervals. Time required to perform the procedure, number of attempts, and any complications were also noted. Results: The mean time required to perform the procedure was 7.67 ± 1.23 min. There were no adverse events. All the patients had significant pain relief during 2 month follow-up (P < 0.05 compared to baseline VAS). The KS and LASA score improved post block which was statistically significant. The dose of nonsteroidal anti-inflammatory drugs (NSAIDS) decreased from preblock state with statistically significant difference, while the difference in dose of tramadol and morphine was statistically insignificant. Conclusion: US-guided ganglion impar block is technically feasible and safe technique. USG can be used to locate sacrococcygeal junction (SCJ) and facilitate the performance of ganglion impar block. The efficacy and safety of the US-guided ganglion impar blockades needs a proper evaluation in the randomized controlled trials. SN - 1658-354X UR - https://www.unboundmedicine.com/medline/citation/31007658/A_prospective_study_to_evaluate_the_efficacy_of_ultrasound-guided_ganglion_impar_block_in_patients_with_chronic_perineal_pain L2 - http://www.saudija.org/article.asp?issn=1658-354X;year=2019;volume=13;issue=2;spage=126;epage=130;aulast=Ghai DB - PRIME DP - Unbound Medicine ER -