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硬膜外镇痛失败后开胸手术中连续竖脊肌平面阻滞用于补救镇痛:一例报告

Continuous Erector Spinae Plane Block for Rescue Analgesia in Thoracotomy After Epidural Failure: A Case Report.

作者信息

Forero Mauricio, Rajarathinam Manikandan, Adhikary Sanjib, Chin Ki Jinn

机构信息

From the *Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada; †Department of Anesthesiology and Perioperative Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania; and ‡Department of Anesthesia, University of Toronto, Ontario, Canada.

出版信息

A A Case Rep. 2017 May 15;8(10):254-256. doi: 10.1213/XAA.0000000000000478.

Abstract

The ultrasound-guided erector spinae plane (ESP) block is a newly described technique for providing thoracic analgesia. It is simple to perform and relatively noninvasive compared with thoracic epidural analgesia. In addition, the anatomy lends itself well to catheter insertion for continuous blockade. In this report, we describe the use of the ESP block as a rescue analgesic technique for postthoracotomy analgesia in a patient with failed thoracic epidural analgesia.

摘要

超声引导下竖脊肌平面(ESP)阻滞是一种新描述的用于提供胸部镇痛的技术。与胸段硬膜外镇痛相比,其操作简单且相对无创。此外,该解剖结构便于插入导管以进行持续阻滞。在本报告中,我们描述了在一名胸段硬膜外镇痛失败的患者中,使用ESP阻滞作为开胸术后镇痛的补救镇痛技术。

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