Mitchell Kelsey D, Smith C Tyler, Mechling Courtney, Wessel Charles B, Orebaugh Steven, Lim Grace
Anesthesiology & Perioperative Medicine, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Health Sciences Library, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Reg Anesth Pain Med. 2019 Oct 25. doi: 10.1136/rapm-2019-100752.
Peripheral nerve blocks have a unique role in postcesarean delivery multimodal analgesia regimens. In this review article, options for peripheral nerve blocks for cesarean delivery analgesia will be reviewed, specifically paravertebral, transversus abdominis plane, quadratus lumborum, iliohypogastric and ilioinguinal, erector spinae, and continuous wound infiltration blocks. Anatomy, existing literature evidence, and specific areas in need of future research will be assessed. Considerations for local anesthetic toxicity, and for informed consent for these modalities in the context of emergency cesarean deliveries, will be presented.
外周神经阻滞在剖宫产术后多模式镇痛方案中具有独特作用。在这篇综述文章中，将对用于剖宫产镇痛的外周神经阻滞方法进行综述，特别是椎旁阻滞、腹横肌平面阻滞、腰方肌阻滞、髂腹下神经和髂腹股沟神经阻滞、竖脊肌阻滞以及连续伤口浸润阻滞。将评估其解剖结构、现有文献证据以及未来需要研究的特定领域。还将介绍局部麻醉药毒性的相关注意事项，以及在急诊剖宫产情况下对这些麻醉方式进行知情同意的相关问题。
