{"id":"https://openalex.org/W4224435392","doi":"https://doi.org/10.4097/kja.22137","title":"Cadaveric investigation of the spread of the thoracoabdominal nerve block using the perichondral and modified perichondral approaches","display_name":"Cadaveric investigation of the spread of the thoracoabdominal nerve block using the perichondral and modified perichondral approaches","publication_year":2022,"publication_date":"2022-04-26","ids":{"openalex":"https://openalex.org/W4224435392","doi":"https://doi.org/10.4097/kja.22137","pmid":"https://pubmed.ncbi.nlm.nih.gov/35468713","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/9346274"},"language":"en","primary_location":{"id":"doi:10.4097/kja.22137","doi":"https://doi.org/10.4097/kja.22137","is_oa":true,"landing_page_url":"https://doi.org/10.4097/kja.22137","pdf_url":"https://ekja.org/upload/pdf/kja-22137.pdf","source":{"id":"https://openalex.org/S4210221379","display_name":"Korean Journal of Anesthesiology","issn_l":"0302-5780","issn":["0302-5780","2005-6419","2005-7563"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-c","jufo-1","kci-registered","medline","oarl","poland-40","russia-white-list-1"],"host_organization":"https://openalex.org/P4310319500","host_organization_name":"Korean Society of Anesthesiologists","host_organization_lineage":["https://openalex.org/P4310319500"],"host_organization_lineage_names":["Korean Society of Anesthesiologists"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Korean Journal of Anesthesiology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://ekja.org/upload/pdf/kja-22137.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5087348165","display_name":"Bahad\u0131r \u00c7ift\u00e7i","orcid":"https://orcid.org/0000-0002-3245-6614","observed_orcids":["https://orcid.org/0000-0002-3245-6614"]},"institutions":[{"id":"https://openalex.org/I3125470973","display_name":"Istanbul Medipol University","ror":"https://ror.org/037jwzz50","country_code":"TR","type":"education","lineage":["https://openalex.org/I3125470973"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Bahadir Ciftci","raw_affiliation_strings":["Department of Anesthesiology and Reanimation, Istanbul Medipol University, Istanbul, Turkey"],"raw_orcid":"https://orcid.org/0000-0002-3245-6614","affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Reanimation, Istanbul Medipol University, Istanbul, Turkey","institution_ids":["https://openalex.org/I3125470973"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039868935","display_name":"Hac\u0131 Ahmet Alici","orcid":"https://orcid.org/0000-0001-8057-5899","observed_orcids":["https://orcid.org/0000-0001-8057-5899","https://orcid.org/0009-0002-8536-2491"]},"institutions":[{"id":"https://openalex.org/I3125470973","display_name":"Istanbul Medipol University","ror":"https://ror.org/037jwzz50","country_code":"TR","type":"education","lineage":["https://openalex.org/I3125470973"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Haci Ahmet Alici","raw_affiliation_strings":["Department of Algology, Istanbul Medipol University, Istanbul, Turkey"],"raw_orcid":"https://orcid.org/0000-0001-8057-5899","affiliations":[{"raw_affiliation_string":"Department of Algology, Istanbul Medipol University, Istanbul, Turkey","institution_ids":["https://openalex.org/I3125470973"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017685309","display_name":"Gamze Ansen","orcid":"https://orcid.org/0000-0001-8488-2394","observed_orcids":["https://orcid.org/0000-0001-8488-2394"]},"institutions":[{"id":"https://openalex.org/I3125470973","display_name":"Istanbul Medipol University","ror":"https://ror.org/037jwzz50","country_code":"TR","type":"education","lineage":["https://openalex.org/I3125470973"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Gamze Ansen","raw_affiliation_strings":["Department of Anatomy, Istanbul Medipol University, Istanbul, Turkey"],"raw_orcid":"https://orcid.org/0000-0001-8488-2394","affiliations":[{"raw_affiliation_string":"Department of Anatomy, Istanbul Medipol University, Istanbul, Turkey","institution_ids":["https://openalex.org/I3125470973"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057892952","display_name":"Bayram Ufuk \u015eakul","orcid":"https://orcid.org/0000-0002-5539-2342","observed_orcids":["https://orcid.org/0000-0002-5539-2342"]},"institutions":[{"id":"https://openalex.org/I3125470973","display_name":"Istanbul Medipol University","ror":"https://ror.org/037jwzz50","country_code":"TR","type":"education","lineage":["https://openalex.org/I3125470973"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Bayram Ufuk Sakul","raw_affiliation_strings":["Department of Anatomy, Istanbul Medipol University, Istanbul, Turkey"],"raw_orcid":"https://orcid.org/0000-0002-5539-2342","affiliations":[{"raw_affiliation_string":"Department of Anatomy, Istanbul Medipol University, Istanbul, Turkey","institution_ids":["https://openalex.org/I3125470973"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068515253","display_name":"Serkan Tulgar","orcid":"https://orcid.org/0000-0003-1996-7505","observed_orcids":["https://orcid.org/0000-0003-1996-7505"]},"institutions":[{"id":"https://openalex.org/I4210115931","display_name":"Samsun University","ror":"https://ror.org/02brte405","country_code":"TR","type":"education","lineage":["https://openalex.org/I4210115931"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Serkan Tulgar","raw_affiliation_strings":["Department of Anesthesiology and Reanimation, Samsun Training and Research Hospital, Samsun University Faculty of Medicine, Samsun, Turkey"],"raw_orcid":"https://orcid.org/0000-0003-1996-7505","affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Reanimation, Samsun Training and Research Hospital, Samsun University Faculty of Medicine, Samsun, Turkey","institution_ids":["https://openalex.org/I4210115931"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5087348165"],"corresponding_institution_ids":["https://openalex.org/I3125470973"],"apc_list":null,"apc_paid":null,"fwci":7.7414,"has_fulltext":true,"cited_by_count":32,"citation_normalized_percentile":{"value":0.98517822,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"75","issue":"4","first_page":"357","last_page":"359"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11840","display_name":"Pain Management and Treatment","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12712","display_name":"Myofascial pain diagnosis and treatment","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/local-anesthetic-spread","display_name":"local anesthetic spread","score":0.9340000152587891},{"id":"https://openalex.org/keywords/costal-cartilage","display_name":"costal cartilage","score":0.6919999718666077},{"id":"https://openalex.org/keywords/methylene-blue","display_name":"methylene blue","score":0.6600000262260437},{"id":"https://openalex.org/keywords/ultrasound-guided-regional-anesthesia","display_name":"ultrasound-guided regional anesthesia","score":0.6919999718666077},{"id":"https://openalex.org/keywords/rectus-abdominis","display_name":"rectus abdominis","score":0.5550000071525574}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9295313358306885},{"id":"https://openalex.org/C175696284","wikidata":"https://www.wikidata.org/wiki/Q986524","display_name":"Cadaveric spasm","level":2,"score":0.8170523047447205},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.6615372896194458}],"mesh":[{"descriptor_ui":"D000009","descriptor_name":"Abdominal Muscles","qualifier_ui":"Q000294","qualifier_name":"innervation","is_major_topic":false},{"descriptor_ui":"D002102","descriptor_name":"Cadaver","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009407","descriptor_name":"Nerve Block","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.4097/kja.22137","doi":"https://doi.org/10.4097/kja.22137","is_oa":true,"landing_page_url":"https://doi.org/10.4097/kja.22137","pdf_url":"https://ekja.org/upload/pdf/kja-22137.pdf","source":{"id":"https://openalex.org/S4210221379","display_name":"Korean Journal of Anesthesiology","issn_l":"0302-5780","issn":["0302-5780","2005-6419","2005-7563"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-c","jufo-1","kci-registered","medline","oarl","poland-40","russia-white-list-1"],"host_organization":"https://openalex.org/P4310319500","host_organization_name":"Korean Society of Anesthesiologists","host_organization_lineage":["https://openalex.org/P4310319500"],"host_organization_lineage_names":["Korean Society of Anesthesiologists"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Korean Journal of Anesthesiology","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9346274","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9346274","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Korean J Anesthesiol","raw_type":"Text"},{"id":"pmid:35468713","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35468713","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Korean journal of anesthesiology","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:4d13a4613c84423d852d31d2f111efa2","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/4d13a4613c84423d852d31d2f111efa2","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Korean Journal of Anesthesiology, Vol 75, Iss 4, Pp 357-359 (2022)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.4097/kja.22137","doi":"https://doi.org/10.4097/kja.22137","is_oa":true,"landing_page_url":"https://doi.org/10.4097/kja.22137","pdf_url":"https://ekja.org/upload/pdf/kja-22137.pdf","source":{"id":"https://openalex.org/S4210221379","display_name":"Korean Journal of Anesthesiology","issn_l":"0302-5780","issn":["0302-5780","2005-6419","2005-7563"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-c","jufo-1","kci-registered","medline","oarl","poland-40","russia-white-list-1"],"host_organization":"https://openalex.org/P4310319500","host_organization_name":"Korean Society of Anesthesiologists","host_organization_lineage":["https://openalex.org/P4310319500"],"host_organization_lineage_names":["Korean Society of Anesthesiologists"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Korean Journal of Anesthesiology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9763000011444092,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4224435392.pdf","grobid_xml":"https://content.openalex.org/works/W4224435392.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W2573324045","https://openalex.org/W2898857301","https://openalex.org/W2911877813","https://openalex.org/W3186947479","https://openalex.org/W4200072303"],"related_works":["https://openalex.org/W7162001418","https://openalex.org/W2981731549","https://openalex.org/W4319345051","https://openalex.org/W3199003569","https://openalex.org/W4378837887","https://openalex.org/W4399137464","https://openalex.org/W4400134193","https://openalex.org/W4412571105","https://openalex.org/W4385879804","https://openalex.org/W7171333047"],"abstract_inverted_index":{"Interfascial":[0],"plane":[1,14],"blocks":[2,15,26,238],"and":[3,57,73,128,134,171,182,206,229,259,285,324,342,369,372,377,399],"associated":[4,167],"currently":[5],"topics":[6],"in":[7,155,211,217,255],"the":[8,22,39,55,61,64,71,82,84,88,92,102,106,118,121,132,139,150,163,169,177,215,218,221,226,230,235,252,256,264,268,270,283,289,294,306,310,319,322,326,331,335,339,344,353,363,366,375,381,387,392,396,407,411,421,425,429,433],"field":[9],"of":[10,24,60,105,141,152,165,209,267,274,288,298,309,334,338,352,380,395,432],"anesthesia.While":[11],"several":[12],"novel":[13,25],"have":[16],"been":[17],"described,":[18],"cadaveric":[19,146,157],"studies":[20,130],"on":[21,54,131,225,234,347,404],"spread":[23,151,166,329,390,409],"are":[27,124],"important":[28],"for":[29],"determining":[30],"appropriate":[31],"applications":[32],"[1].Recently,":[33],"Tulgar":[34],"et":[35],"al.":[36],"[2]":[37],"defined":[38],"thoracoabdominal":[40,345],"nerve":[41,346],"block":[42,69],"using":[43,244],"a":[44,245,417],"perichondral":[45],"approach":[46],"(TAPA).They":[47],"reported":[48,96],"that":[49,97,115],"local":[50],"anesthetic":[51],"(LA)":[52],"administered":[53],"upper":[56,284,336,376,393,430],"lower":[58,103,265,286,307,332,350,378],"aspect":[59],"9th":[62],"through":[63],"10th":[65,370],"costal":[66,107,397],"cartilages":[67],"would":[68,109],"both":[70,282,321,348,405],"anterior":[72],"lateral":[74],"cutaneous":[75],"branches,":[76],"thus":[77],"providing":[78],"abdominal":[79,355,383],"analgesia.After":[80],"describing":[81],"TAPA,":[83,271],"authors":[85],"also":[86],"redefined":[87],"approach,":[89],"naming":[90],"it":[91],"modified":[93],"TAPA":[94,119,133,170,231,323,426],"(M-TAPA).They":[95],"administering":[98,212],"LA":[99],"only":[100],"to":[101,114,138,161,262,402,416,428],"surface":[104,333,351,394],"cartilage":[108],"provide":[110],"successful":[111],"analgesia":[112],"similar":[113],"provided":[116],"by":[117,176,201],"[3].In":[120],"literature,":[122],"there":[123],"some":[125],"case":[126],"reports":[127],"observational":[129],"M-TAPA":[135,222,422],"[2,3];":[136],"however,":[137],"best":[140],"our":[142],"knowledge,":[143],"no":[144],"reliable":[145],"investigation":[147],"has":[148],"demonstrated":[149],"these":[153],"blocks.Therefore,":[154],"this":[156],"investigation,":[158],"we":[159],"aimed":[160],"evaluate":[162],"areas":[164],"with":[168,204,362,420,424],"M-TAPA.This":[172],"study":[173],"was":[174,193,223,232,249,279,303,314,359],"approved":[175],"Istanbul":[178,196],"Medipol":[179,197],"University":[180],"Ethics":[181],"Research":[183],"Committee":[184],"(Decision":[185],"No.":[186],"36,":[187],"06.01.2022).One":[188],"fresh":[189],"human":[190],"male":[191],"cadaver":[192,216],"obtained":[194],"from":[195,400],"University.Injections":[198],"were":[199,239,374],"performed":[200,224,233,240,315],"two":[202],"investigators":[203],"10":[205],"20":[207,272],"years":[208],"experienced":[210],"regional":[213],"anesthesia.With":[214],"supine":[219],"position,":[220],"right":[227],"side,":[228],"left":[236],"side.The":[237],"under":[241],"ultrasound":[242],"guidance":[243],"linear":[246],"transducer.The":[247],"transducer":[248],"placed":[250],"at":[251],"costochondral":[253],"angle":[254],"sagittal":[257],"view":[258,263],"then":[260],"advanced":[261],"side":[266,308],"chondrium.For":[269],"ml":[273,292,297],"0.25%":[275,299],"methylene":[276,300],"blue":[277,301],"dye":[278,302,327,364,388,408],"injected":[280,304],"into":[281,305],"sides":[287],"chondrium":[290],"(40":[291],"total).For":[293],"M-TA-PA,":[295],"40":[296],"chondrium.An":[311],"anatomical":[312],"dissection":[313],"30":[316],"min":[317],"after":[318],"procedure.For":[320],"M-TAPA,":[325],"had":[328,389],"over":[330,343,391,410],"part":[337,431],"rectus":[340],"abdominis":[341,413],"sides.The":[349],"external":[354],"oblique":[356,384],"muscle":[357,385,414],"(EAOM)":[358],"completely":[360],"stained":[361],"(over":[365],"8th,":[367],"9th,":[368],"ribs),":[371],"so":[373],"surfaces":[379],"internal":[382],"(IAOM).Additionally,":[386],"margin":[398],"T4":[401],"T11-T12":[403],"sides.However,":[406],"transverse":[412],"(TAM)":[415],"greater":[418],"degree":[419],"compared":[423],"(limited":[427],"muscle)":[434],"(Figs.1A":[435],"and1B).":[436]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":9},{"year":2024,"cited_by_count":10},{"year":2023,"cited_by_count":8},{"year":2022,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2022-04-27T00:00:00"}
