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PECS II阻滞作为锁骨手术的主要镇痛方法:7例病例报告

The PECS II block as a major analgesic component for clavicle operations: A description of 7 case reports.

作者信息

Schuitemaker R J B, Sala-Blanch X, Rodriguez-Pérez C L, Mayoral R J T, López-Pantaleon L A, Sánchez-Cohen A P

机构信息

Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Institut Hypnos, S. L. P., Hospital Universitari General de Catalunya, Sant Cugat del Vallès, Barcelona, España.

Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Departamento de Anatomía Humana, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, España.

出版信息

Rev Esp Anestesiol Reanim (Engl Ed). 2018 Jan;65(1):53-58. doi: 10.1016/j.redar.2017.04.005. Epub 2017 May 26.

Abstract

Clavicle fractures correspond to 35% of traumatic fractures of the shoulder girdle. Regional anaesthesia has shown better analgesic results than systemic treatment for perioperative management. Innervation of the clavicle is complex, at present its knowledge raises controversy. The lateral pectoral nerve through the innervating musculature predominantly participates in the lateral and anterior part of the clavicle. The following report of 7 cases describes the effective postoperative analgesia of modified PEC II block in patients with middle third clavicle fracture or acromioclavicular dislocation who underwent a modified PEC II block for postoperative pain management, in the context of a multimodal analgesia. The potential advantage of this management over other analgesic procedures should be evaluated in specific clinical trials.

摘要

锁骨骨折占肩胛带创伤性骨折的35%。区域麻醉在围手术期管理中已显示出比全身治疗更好的镇痛效果。锁骨的神经支配很复杂,目前对其的了解存在争议。胸外侧神经通过支配肌肉主要参与锁骨的外侧和前部。以下7例报告描述了改良PEC II阻滞在多模式镇痛背景下,对接受改良PEC II阻滞进行术后疼痛管理的中1/3锁骨骨折或肩锁关节脱位患者的有效术后镇痛。这种管理相对于其他镇痛方法的潜在优势应在特定的临床试验中进行评估。

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