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急诊科双侧腰椎横突骨折的竖脊肌平面阻滞:一种新的适应证。

Erector spinae plane block for bilateral lumbar transverse process fracture in emergency department: A new indication.

机构信息

Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey.

Department of Emergency Medicine, Ataturk University School of Medicine, Erzurum, Turkey.

出版信息

Am J Emerg Med. 2018 Oct;36(10):1927.e3-1927.e4. doi: 10.1016/j.ajem.2018.06.072. Epub 2018 Jun 30.

DOI:10.1016/j.ajem.2018.06.072
PMID:29980485
Abstract

Plane blocks have become very popular in recent years with the introduction of ultrasonography into the regional anesthesia and algology practice. Ultrasound guided erector spinae plane (ESP) block was first described in 2016. ESP block involves injection of local anesthetics between erector spinae muscles and transverse process of thoracic or lumbar vertebrae and can block the dorsal and ventral rami of thoracolumbar spinal nerves. ESP block has been successfully reported to relieve the pain of multiple rib fracture in the emergency department (ED). Here we first report a novel indication for ESP block in ED; transverse process fracture of lumbar vertebra.

摘要

近年来,随着超声技术在区域麻醉和疼痛医学领域的应用,平面阻滞技术越来越受到关注。超声引导竖脊肌平面(ESP)阻滞技术于 2016 年首次报道,其在胸腰椎棘突和竖脊肌之间注药,可阻滞胸腰段脊神经背支和腹支,已成功用于急诊科(ED)多发肋骨骨折的镇痛。本文首次报道 ESP 阻滞技术在 ED 中的另一适应证:腰椎横突骨折。

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