Tseng Victor, Tara Arjun, Hou Jian, Xu Jeff L
Division of Regional Anesthesia and Acute Pain Management, Department of Anesthesiology, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
Saudi J Anaesth. 2019 Jul-Sep;13(3):253-254. doi: 10.4103/sja.SJA_186_19.
The erector spinae plane (ESP) block has been used to provide analgesia for multiple surgeries involving the abdomen and thorax. Like other plane blocks, the ESP block relies upon normal anatomical boundaries for predictable and safe distribution of local anesthetic. Surgical intervention can alter the anatomy and present new considerations for performing plane blocks. We present a case in which an ESP block was performed for multiple rib fractures in a patient with a recent laminectomy. Laminectomy patients present unique considerations regarding the safety of the ESP block.
竖脊肌平面（ESP）阻滞已被用于为涉及腹部和胸部的多种手术提供镇痛。与其他平面阻滞一样，ESP阻滞依赖于正常的解剖边界，以实现局部麻醉药可预测且安全的分布。手术干预会改变解剖结构，并为实施平面阻滞带来新的考量因素。我们报告一例近期接受过椎板切除术的患者因多根肋骨骨折而实施ESP阻滞的病例。椎板切除术后的患者在ESP阻滞安全性方面存在独特的考量因素。
