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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.

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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