Camacho Fernando Calado de Oliveira, Segura-Grau Elena
Centro Hospitalar de São João, Serviço de Anestesiologia, Porto, Portugal.
Centro Hospitalar de Tondela e Viseu, Serviço de Anestesiologia, Viseu, Portugal.
Braz J Anesthesiol. 2019 Jan-Feb;69(1):87-90. doi: 10.1016/j.bjan.2018.03.007. Epub 2018 Aug 22.
Thoracic trauma with rib fractures is a challenging condition due to the severe associated pain. Uncontrolled pain impairs breathing and an adequate pain control is necessary to provide comfort and to avoid further complications. Serratus Anterior Plane block is a procedure safe and easy to accomplish. The authors describe a case of thoracic trauma with rib fractures and respiratory compromise. Pain control was only achieved after performing a Serratus Anterior Plane block. The technique was done as described in the medical literature with placement of a catheter. Pain relief was achieved with a low concentration infusion of local anesthetic.
伴有肋骨骨折的胸部创伤由于其严重的相关疼痛而具有挑战性。疼痛控制不佳会损害呼吸,因此充分的疼痛控制对于提供舒适感和避免进一步并发症是必要的。前锯肌平面阻滞是一种安全且易于实施的操作。作者描述了一例伴有肋骨骨折和呼吸功能不全的胸部创伤病例。仅在前锯肌平面阻滞后才实现了疼痛控制。该技术按照医学文献中所述进行,放置了一根导管。通过低浓度局部麻醉剂输注实现了疼痛缓解。