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[腹横肌平面阻滞:仅用于腹壁手术的麻醉方法]

[Transversus abdominis plane block: anesthesia procedure for abdominal wall surgery only].

作者信息

Schönfeld S

机构信息

Departement für Anästhesie, Spitalregion Rheintal Werdenberg Sarganserland, Spitalstr. 44, 9472 Grabs, Schweiz.

出版信息

Anaesthesist. 2013 May;62(5):389-91. doi: 10.1007/s00101-013-2171-0. Epub 2013 May 10.

DOI:10.1007/s00101-013-2171-0
PMID:23657535
Abstract

The transversus abdominis plane (TAP) block is a well known method for postoperative pain control after abdominal surgery. From an anatomical and physiological point of view it should be possible to perform abdominal wall surgery, e.g. wound debridement, using a TAP block only. To the authors knowledge no studies have been published with respect to the use of TAP only. This article presents a case report demonstrating that it is possible to perform three consecutive operation procedures within 7 days using only a bilateral TAP catheter technique. The TAP block without any co-medication provides high patient comfort and should be recognized as a good alternative for abdominal wall surgery.

摘要

腹横肌平面(TAP)阻滞是腹部手术后控制术后疼痛的一种众所周知的方法。从解剖学和生理学角度来看,仅使用TAP阻滞进行腹壁手术,例如伤口清创术,应该是可行的。据作者所知,尚未发表关于仅使用TAP阻滞的研究。本文介绍了一例病例报告,表明仅使用双侧TAP导管技术在7天内进行连续三次手术操作是可行的。不使用任何辅助药物的TAP阻滞能为患者提供高度舒适感,应被视为腹壁手术的一种良好替代方法。

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[Perioperative pain management for abdominal and thoracic surgery].[腹部和胸部手术的围手术期疼痛管理]
Schmerz. 2014 Jun;28(3):265-81. doi: 10.1007/s00482-014-1420-8.

本文引用的文献

1
The analgesic efficacy of transversus abdominis plane blocks in ileostomy takedowns: a retrospective analysis.腹横肌平面阻滞在回肠造口还纳术中的镇痛效果:回顾性分析。
J Clin Anesth. 2012 Aug;24(5):373-7. doi: 10.1016/j.jclinane.2011.10.014. Epub 2012 May 15.
2
Ultrasound-guided continuous transverse abdominis plane block for abdominal surgery.超声引导下连续腹横肌平面阻滞用于腹部手术
J Anaesthesiol Clin Pharmacol. 2011 Jul;27(3):333-6. doi: 10.4103/0970-9185.83676.
3
The efficacy of a novel approach to transversus abdominis plane block for postoperative analgesia after colorectal surgery.
一种新的腹横肌平面阻滞用于结直肠手术后镇痛的效果。
Anesth Analg. 2011 Jun;112(6):1504-8. doi: 10.1213/ANE.0b013e3182159bf8. Epub 2011 Apr 5.
4
Perioperative transversus abdominis plane (TAP) blocks for analgesia after abdominal surgery.腹部手术后镇痛的围手术期腹横肌平面(TAP)阻滞
Cochrane Database Syst Rev. 2010 Dec 8(12):CD007705. doi: 10.1002/14651858.CD007705.pub2.
5
Serum concentration of lidocaine after transversus abdominis plane block.腹横肌平面阻滞术后利多卡因的血清浓度
J Anesth. 2009;23(2):298-300. doi: 10.1007/s00540-008-0721-4. Epub 2009 May 15.
6
Abdominal field block: a new approach via the lumbar triangle.腹部区域阻滞:经腰三角的新方法。
Anaesthesia. 2001 Oct;56(10):1024-6. doi: 10.1046/j.1365-2044.2001.02279-40.x.