Sequera-Ramos Luis, Ruby Jordan M, Jackson Oksana A, Ganesh Arjunan, Gurnaney Harshad, Kraemer Francis W, Muhly Wallis T
From the Department of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Division of Plastic Surgery, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
A A Pract. 2019 Sep 1;13(5):162-165. doi: 10.1213/XAA.0000000000001013.
Harvesting of iliac crest bone graft for alveolar cleft repair in children is associated with significant postoperative pain. Transversalis fascia plane block has emerged as an alternative to local wound infiltration for iliac crest bone graft harvesting and has been used with good effect in adult patients requiring bone graft for orthopedic surgery. Little is known about the use of the transversalis fascia plane block in children or the feasibility of placing a continuous infusion catheter. In this report, we describe our experience using a continuous transversalis fascia plane infusion catheter in the management of a 6-year-old girl undergoing alveolar cleft repair with iliac crest bone graft.
儿童取髂嵴骨移植修复牙槽嵴裂会导致显著的术后疼痛。腹横筋膜平面阻滞已成为髂嵴骨移植术中局部伤口浸润麻醉的替代方法,并已在需要进行骨科手术骨移植的成年患者中取得了良好效果。关于腹横筋膜平面阻滞在儿童中的应用或放置连续输注导管的可行性知之甚少。在本报告中,我们描述了使用连续腹横筋膜平面输注导管管理一名6岁女孩的经验,该女孩接受了髂嵴骨移植修复牙槽嵴裂手术。