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早产儿腹股沟疝修补术中的竖脊肌平面阻滞

Erector spinae plane block for inguinal hernia repair in preterm infants.

作者信息

Hernandez Maria A, Palazzi Lucio, Lapalma Julio, Cravero Joseph

机构信息

Department of Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Department of Anesthesia, Dr. Orlando Alassia Children's Hospital, Santa Fe, Argentina.

出版信息

Paediatr Anaesth. 2018 Mar;28(3):298-299. doi: 10.1111/pan.13325. Epub 2018 Jan 17.

Abstract

Neuro-axial anesthesia has been the preferred technique for inguinal hernia repair when attempting to avoid general anesthesia in neonates and preterm infants. We present a case where an erector spinae plane block was used successfully for this surgery. Hemodynamic stability, minimal anesthetic requirements, and excellent pain control were documented. This block promises to be a valuable and safe alternative for inguinal hernia repair, accompanying the path of neuroprotective anesthesia.

摘要

在试图避免对新生儿和早产儿进行全身麻醉时,神经轴索麻醉一直是腹股沟疝修补术的首选技术。我们报告了一例成功使用竖脊肌平面阻滞进行该手术的病例。记录显示血流动力学稳定、麻醉需求最小且疼痛控制良好。随着神经保护性麻醉的发展,这种阻滞有望成为腹股沟疝修补术一种有价值且安全的替代方法。

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