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竖脊肌平面阻滞用于三种不同情况镇痛的病例报告证实

Confirmation of Erector Spinae Plane Block Analgesia for 3 Distinct Scenarios: A Case Report.

作者信息

Jones Mark R, Urits Ivan, Shnider Marc R, Matyal Robina

机构信息

From the Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

出版信息

A A Pract. 2019 Mar 1;12(5):141-144. doi: 10.1213/XAA.0000000000000865.

Abstract

Analgesia for many open thoracic and abdominal procedures has traditionally been accomplished through neuraxial techniques or paravertebral blocks. Erector spinae plane (ESP) blocks purport effective analgesia over a similar anatomical distribution with a more favorable side effect profile and complication rate than epidurals. However, the extent of clinical applicability for ESP blocks has yet to be elucidated. In this case series, we demonstrate the efficacy of ESP blocks for 3 distinct etiologies of acute pain: planned perioperative analgesia, rescue postoperative analgesia, and traumatic pain.

摘要

传统上,许多开胸和开腹手术的镇痛是通过神经轴技术或椎旁阻滞来实现的。竖脊肌平面(ESP)阻滞据称在类似的解剖分布上能产生有效的镇痛效果,与硬膜外阻滞相比,其副作用和并发症发生率更有利。然而,ESP阻滞的临床适用范围尚未阐明。在本病例系列中,我们展示了ESP阻滞对三种不同病因的急性疼痛的疗效:计划中的围手术期镇痛、术后补救镇痛和创伤性疼痛。

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