Omoigui Diffusion Technique of Intercostal Nerve Block
Sota Omoigui*, Yvone Do and Peter A Adewumi
Division of Inflammation and Pain Research,LA Pain Clinic, California, USA
- *Corresponding Author:
- Sota Omoigui M.D, L.A
Pain Clinic, Hawthorne, California, USA
Tel: (310) 675 9121
Fax: (310) 675 7989
E-mail: [email protected]
Received Date: July 10, 2013; Accepted Date: August 22, 2013; Published Date: August 24, 2013
Citation: Omoigui S, Do Y, Adewumi PA (2013) Omoigui Diffusion Technique of Intercostal Nerve Block. J Anesth Clin Res 4:344. doi: 10.4172/2155-6148.1000344
Copyright: © 2013 Omoigui S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
This paper describes the relevant anatomy and rationale behind our Diffusion Technique for intercostal nerve block. Using the Diffusion Technique developed by Omoigui, the left middle and index fingers are placed to stabilize the superior and inferior borders of the rib, at a site proximal to the area of pain. A 3 cm, 25 gauge, short-beveled needle is inserted directly onto the midpoint of the rib and 1-3 ml of local anesthetic solution is injected over the rib. There is no attempt to walk off the lower border of the rib and there is no advancement of the needle into the subcostal groove. There is minimal to no risk of any accidental pleural puncture as compared with the Bonica technique. The Omoigui diffusion technique utilizes the spread and diffusion characteristics of the injected local anesthetic to produce blockade of the cutaneous branches and intercostal nerves. This diffusion technique has showed similar therapeutic results as the standard approach. We include a series of cases that responded successfully to this simple diffusion technique for intercostal nerve block.