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通过腰方肌阻滞进行术后持续镇痛——腹横肌平面阻滞的一种替代方法。

Continuous postoperative analgesia via quadratus lumborum block - an alternative to transversus abdominis plane block.

作者信息

Visoiu Mihaela, Yakovleva Nataliya

机构信息

Department of Anesthesiology, Acute Interventional Perioperative Pediatric Postoperative Pain Service, Children's Hospital of University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA 15224, USA.

出版信息

Paediatr Anaesth. 2013 Oct;23(10):959-61. doi: 10.1111/pan.12240. Epub 2013 Aug 9.

Abstract

Different transversus abdominis plane blocks techniques cause variations in postoperative analgesia characteristics. We report the use of unilateral quadratus lumborum catheter for analgesia following colostomy closure. The catheter was placed under direct ultrasound visualization and had good outcomes: low pain scores and minimal use of rescue analgesic medication. No complications were reported in this pediatric patient. More studies are needed to evaluate the effectiveness and safety of this regional anesthesia technique.

摘要

不同的腹横肌平面阻滞技术会导致术后镇痛特征的差异。我们报告了在结肠造口关闭术后使用单侧腰方肌导管进行镇痛的情况。该导管是在直接超声可视化下放置的,并且取得了良好的效果:疼痛评分低,急救镇痛药物使用量极少。该儿科患者未报告任何并发症。需要更多研究来评估这种区域麻醉技术的有效性和安全性。

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