Chu George M, Jarvis G Craig
From the *Department of Anesthesiology, Sutter Medical Center Sacramento, Sacramento, California; †College of Osteopathic Medicine, Touro University California, Mare Island, Vallejo, California; and ‡CASE Medical Group, Inc, Sacramento, California.
A A Case Rep. 2017 Jun 15;8(12):322-325. doi: 10.1213/XAA.0000000000000502.
In this case report, the serratus anterior plane block was used in conjunction with multilevel continuous thoracic paravertebral blocks (TPVB) and general anesthesia in 3 thoracotomy cases. All blocks were accompanied by use of catheters that allowed continuous local anesthetic infusions and intermittent local anesthetic bolus injections to address postoperative pain. In all 3 patients, the serratus anterior plane block provided analgesia for chest tube-related pain that was not provided by the TPVB alone.
在本病例报告中,3例开胸手术患者采用前锯肌平面阻滞联合多节段连续胸椎旁神经阻滞(TPVB)及全身麻醉。所有阻滞均使用导管,以持续输注局部麻醉药并间断推注局部麻醉药来处理术后疼痛。在所有3例患者中,前锯肌平面阻滞为胸管相关疼痛提供了单独TPVB所不能提供的镇痛效果。