Watton D E, Rose P G D, Abdallah F W, Thompson C P, Maziak D E, Costache I
Department of Anesthesiology and Pain Medicine University of Ottawa ON Canada.
Surgical Oncology Division of Thoracic Surgery The Ottawa Hospital University of Ottawa ON Canada.
Anaesth Rep. 2019 Jul 29;7(2):65-68. doi: 10.1002/anr3.12018. eCollection 2019 Jul-Dec.
The ultrasound-guided midpoint transverse process to pleura block has been described as an alternative end-point for thoracic paravertebral blockade. Although originally described as a single-level block, midpoint transverse process to pleura blockade may cover more than one level when larger volumes of injectate are used. Moreover, a continuous catheter midpoint transverse process to pleura blockade technique was previously thought to be unfeasible. We report three cases where a midpoint transverse process to pleura continuous catheter technique was successfully used for postoperative analgesia following video-assisted thoracoscopic surgery.
超声引导下横突中点至胸膜阻滞已被描述为胸椎旁阻滞的一种替代终点。尽管最初被描述为单节段阻滞，但当使用较大体积的注射剂时，横突中点至胸膜阻滞可能覆盖不止一个节段。此外，连续导管横突中点至胸膜阻滞技术以前被认为是不可行的。我们报告了3例成功使用横突中点至胸膜连续导管技术进行电视辅助胸腔镜手术后镇痛的病例。
