超声引导下竖脊肌平面阻滞：基于单中心经验的适应证、并发症及对急慢性疼痛的影响
Ultrasound-guided Erector Spinae Plane Block: Indications, Complications, and Effects on Acute and Chronic Pain Based on a Single-center Experience.
作者信息
Tulgar Serkan, Selvi Onur, Senturk Ozgur, Serifsoy Talat E, Thomas David T
机构信息
Anaesthesiology, Maltepe University Faculty of Medicine, Istanbul, TUR.
Aneasthesiology, Maltepe University Faculty of Medicine, Istanbul, TUR.
出版信息
Cureus. 2019 Jan 2;11(1):e3815. doi: 10.7759/cureus.3815.
Abstract
INTRODUCTION
Erector spinae plane block (ESPB) is a novel regional anesthesia technique used in postoperative pain and chronic neuropathic pain of the thoracoabdominal region. There are no previously published large case series. This retrospective review aimed to report the indications, levels of block, success of block and complications, and also to evaluate the effect of ESPB on postoperative/chronic pain.
METHODS
We retrospectively evaluated the charts and medical records of 182 patients who had ESPB in the last one year. All records were collected in the postoperative recovery room, ward, and pain unit.
RESULTS
ESPB performed at several different levels and for several different indications led to effective postoperative analgesia when part of a multimodal analgesia plan. Few complications were noted.
CONCLUSION
ESPB is an interfascial plane block with many indications. The possibility of complications must be considered.
摘要
引言
竖脊肌平面阻滞（ESPB）是一种用于胸腹部术后疼痛和慢性神经性疼痛的新型区域麻醉技术。此前尚无发表的大型病例系列。本回顾性研究旨在报告其适应证、阻滞平面、阻滞成功率及并发症，并评估ESPB对术后/慢性疼痛的影响。
方法
我们回顾性评估了过去一年中接受ESPB的182例患者的病历和医疗记录。所有记录均在术后恢复室、病房和疼痛科收集。
结果
当作为多模式镇痛计划的一部分时，在几个不同平面进行的ESPB以及针对几种不同适应证进行的ESPB可产生有效的术后镇痛效果。观察到的并发症较少。
结论
ESPB是一种具有多种适应证的筋膜间平面阻滞。必须考虑并发症发生的可能性。
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