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连续竖脊肌平面导管用于婴儿开胸术后镇痛:一例报告

Continuous Erector Spinae Plane Catheter for Analgesia After Infant Thoracotomy: A Case Report.

作者信息

Kaplan Irem, Jiao York, AuBuchon Jacob Daniel, Moore Robert P

机构信息

From the Department of Anesthesiology, St Louis Children's Hospital/Barnes Jewish Hospital, Washington University in St Louis, St Louis, Missouri.

出版信息

A A Pract. 2018 Nov 1;11(9):250-252. doi: 10.1213/XAA.0000000000000799.

DOI:10.1213/XAA.0000000000000799
PMID:29794802
Abstract

The erector spinae plane block is an emerging technique for the provision of thoracolumbar analgesia with reported pediatric applications. We describe the placement of a continuous erector spinae plane catheter at the T5-T6 level in a 7-month-old infant who was undergoing thoracotomy for left upper lobectomy due to congenital pulmonary airway malformation. This technique resulted in outstanding analgesia without the need for opioid rescue analgesia. This block has a low degree of technical difficulty and is placed in area devoid of nearby critical structures and could be used in a number of potentially painful interventions.

摘要

竖脊肌平面阻滞是一种用于胸腰段镇痛的新兴技术,已有在儿科应用的报道。我们描述了在一名7个月大婴儿的T5-T6水平放置连续竖脊肌平面导管的过程,该婴儿因先天性肺气道畸形接受左上叶切除术的开胸手术。该技术产生了出色的镇痛效果,无需使用阿片类药物进行补救镇痛。这种阻滞技术难度较低,且放置在没有附近关键结构的区域,可用于多种可能引起疼痛的干预措施。

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Continuous Erector Spinae Plane Catheter for Analgesia After Infant Thoracotomy: A Case Report.连续竖脊肌平面导管用于婴儿开胸术后镇痛:一例报告
A A Pract. 2018 Nov 1;11(9):250-252. doi: 10.1213/XAA.0000000000000799.
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[Do we still need central blocks while we have erector spinae plane block? Case of 2.5 month old infant].[在我们已有竖脊肌平面阻滞的情况下,我们还需要中枢神经阻滞吗?以一名2.5个月大婴儿为例]
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Ann Card Anaesth. 2022 Oct-Dec;25(4):429-434. doi: 10.4103/aca.aca_269_20.
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Korean J Anesthesiol. 2022 Dec;75(6):473-486. doi: 10.4097/kja.22279. Epub 2022 Jul 5.
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Evaluation of ultrasound-guided erector spinae plane block for postoperative management of video-assisted thoracoscopic surgery: a prospective, randomized, controlled clinical trial.超声引导下竖脊肌平面阻滞用于电视辅助胸腔镜手术术后管理的评估:一项前瞻性、随机、对照临床试验。
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Erector spinae catheter for post-thoracotomy pain control in a premature neonate.经皮置管用于治疗早产儿开胸术后疼痛。
BMJ Case Rep. 2020 Sep 7;13(9):e234480. doi: 10.1136/bcr-2020-234480.
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Bilateral erector spinae catheter placement for bilateral nephrectomy in a paediatric patient.在一名儿科患者中为双侧肾切除术进行双侧竖脊肌导管置入。
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