Medical Officer, Royal Flying Doctor Service South East Section; Advanced Trainee, Department of Anesthesia and Perioperative Medicine, Dubbo Base Hospital, Dubbo, NSW, Australia.
Chief Medical Officer, Royal Flying Doctor Service South East Section; Director of Critical Care, Dubbo Base Hospital; Associate Professor, School of Rural Health, University of Sydney; State Retrieval Consultant, Ambulance New South Wales, Sydney, NSW, Australia.
Prehosp Disaster Med. 2020 Aug;35(4):454-456. doi: 10.1017/S1049023X20000540. Epub 2020 May 11.
Pain management for patients with chest trauma in aeromedical prehospital and retrieval medicine is important in order to maintain respiratory function. However, it can be challenging to achieve with opioids alone due to side effects including sedation, respiratory depression, and nausea.Reported are two trauma patients with uncontrolled pain despite multiple doses of opioids managed with a single-injection erector spinae plane block (ESB).The sono-anatomy and performance of the block, indications, and possible complications associated with the ESB are described.An ultrasound-guided ESB is useful for multimodal pain therapy following chest trauma in aeromedical retrieval medicine.
航空医疗后送医学中，为胸部创伤患者进行疼痛管理对于维持呼吸功能非常重要。然而，单独使用阿片类药物可能会存在一些挑战，因为它们会产生镇静、呼吸抑制和恶心等副作用。本文报告了 2 例胸部创伤患者，尽管使用了多次阿片类药物，但仍存在无法控制的疼痛，通过单次注射竖脊肌平面阻滞（ESB）进行了治疗。本文描述了 ESB 的超声解剖和操作、适应证和可能的并发症。超声引导下的 ESB 可用于航空医疗后送医学中胸部创伤后的多模式疼痛治疗。
