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[连续腰段竖脊肌平面阻滞用于髋关节翻修手术术后疼痛管理:一例报告]

[Continuous lumbar erector spinae plane block for postoperative pain management in revision hip surgery: a case report].

作者信息

Kinjo Sakura, Schultz Alison

机构信息

University of California, Department of Anesthesia and Perioperative Care, San Francisco, Estados Unidos.

University of California, Department of Anesthesia and Perioperative Care, San Francisco, Estados Unidos.

出版信息

Braz J Anesthesiol. 2019 Jul-Aug;69(4):420-422. doi: 10.1016/j.bjan.2018.12.007. Epub 2019 Jul 28.

Abstract

The number of total hip arthroplasty cases performed each year continues to increase; accordingly, so does the number of revision total hip arthroplasty procedures. While our traditional method of analgesia for these patients has involved multimodal medications and a continuous lumbar plexus block, we report two cases of patients who received continuous lumbar erector spinae plane blocks. Both patients exhibited excellent pain control postoperatively and were able to discharge home on postoperative day one. This case report illustrates the possible utility of continuous erector spinae plane blocks for postoperative analgesia in the more frequently occurring revision total hip arthroplasty surgeries.

摘要

每年进行的全髋关节置换病例数量持续增加;相应地,翻修全髋关节置换手术的数量也在增加。虽然我们针对这些患者的传统镇痛方法包括多模式药物治疗和持续腰丛阻滞,但我们报告了两例接受持续竖脊肌平面阻滞的患者。两名患者术后均表现出良好的疼痛控制,并且能够在术后第一天出院回家。本病例报告说明了持续竖脊肌平面阻滞在更常见的翻修全髋关节置换手术中用于术后镇痛的可能效用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00d9/9391873/e8c4d1b04e3d/gr1.jpg

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