Buckenmaier C C, Steele S M, Nielsen K C, Martin A H, Klein S M
Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA.
Acta Anaesthesiol Scand. 2002 Sep;46(8):1042-5. doi: 10.1034/j.1399-6576.2002.460820.x.
Surgical procedures of the breast can result in significant postoperative pain. Paravertebral nerve blocks have been used successfully in the management of analgesia after breast surgery but are limited by a single injection. This report describes the use of bilateral paravertebral catheters to provide extended analgesia for reduction mammoplasty. A 48-year-old female underwent bilateral paravertebral catheter placement at thoracic level 3 and local anesthetic injections followed by general anesthesia for elective reduction mammoplasty. She reported no pain following the operation and required no supplemental opioids for pain management during her overnight recovery. This case demonstrates a method for extended bilateral thoracic analgesia. The technique may offer an alternative to traditional outpatient analgesics for reduction mammoplasty.
乳房手术会导致严重的术后疼痛。椎旁神经阻滞已成功用于乳房手术后的镇痛管理，但受单次注射限制。本报告描述了使用双侧椎旁导管为乳房缩小成形术提供延长镇痛。一名48岁女性在第3胸椎水平进行双侧椎旁导管置入，随后注射局部麻醉剂，然后接受全身麻醉进行择期乳房缩小成形术。她术后报告无疼痛，在夜间恢复期间无需补充阿片类药物进行疼痛管理。本病例展示了一种延长双侧胸部镇痛的方法。该技术可能为乳房缩小成形术的传统门诊镇痛药提供一种替代方案。
