Patel Nihar V, Glover Chris, Adler Adam C
From the Department of Anesthesiology, Perioperative and Pain Medicine, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
A A Pract. 2019 May 1;12(9):299-301. doi: 10.1213/XAA.0000000000000914.
Thoracotomy is associated with significant postoperative pain. While postoperative pain control after thoracotomy is most commonly managed with a thoracic epidural or paravertebral catheter, both are fraught with significant risks and are technically challenging to perform in pediatric patients. The erector spinae plane block is a relatively novel, easy-to-perform block used to provide thoracic wall analgesia. We present a case of a pediatric patient undergoing thoracotomy whose postoperative pain was managed with an erector spinae plane catheter.
开胸手术会导致严重的术后疼痛。虽然开胸手术后的疼痛控制最常用胸段硬膜外导管或椎旁导管来管理，但这两种方法都存在重大风险，并且在儿科患者中实施技术上具有挑战性。竖脊肌平面阻滞是一种相对新颖、易于实施的阻滞方法，用于提供胸壁镇痛。我们报告一例接受开胸手术的儿科患者，其术后疼痛通过竖脊肌平面导管进行管理。
