Department of Anesthesia & Perioperative Medicine, London Health Sciences Centre, Western University, 339 Windermere Rd, London, ON, Canada N6A 5A5.
Department of Anesthesia & Perioperative Medicine, London Health Sciences Centre, Schulich School of Medicine and Dentistry, Western University, 339 Windermere Rd, London, ON, Canada N6A 5A5.
Biomed Res Int. 2019 Jul 7;2019:1716365. doi: 10.1155/2019/1716365. eCollection 2019.
The transversus thoracis muscle plane block (TTP) block is a newly developed regional anesthesia technique which provides analgesia to the anterior chest wall. Since its introduction, this technique has been utilized for a wide range of surgical procedures as well as nonsurgical indications. Current evidence suggests that the TTP block provides effective analgesia for breast and cardiac surgeries, cardiac device implantation, pericardiocentesis, and acute and chronic pain management. To date, no major complications have been reported. Currently there is an urgent need to standardize the nomenclature of this technique to facilitate accurate communication amongst care providers, researchers, and authors. In this review, we describe the TTP block technique, review the indications and available evidence in clinical practice, and discuss alternative blocks and future prospects.
胸横肌平面阻滞（TTP 阻滞）是一种新开发的区域麻醉技术，可为前胸壁提供镇痛。自引入以来，该技术已广泛应用于各种手术和非手术适应证。现有证据表明，TTP 阻滞可为乳房和心脏手术、心脏器械植入、心包穿刺术以及急性和慢性疼痛管理提供有效镇痛。迄今为止，尚未报告重大并发症。目前迫切需要规范该技术的命名，以促进护理提供者、研究人员和作者之间的准确沟通。在这篇综述中，我们描述了 TTP 阻滞技术，回顾了临床实践中的适应证和现有证据，并讨论了替代阻滞和未来前景。
