From the Department of Anesthesiology and Critical Care Medicine.
Section of Interventional Pulmonology, Pulmonary Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
A A Pract. 2020 Jun;14(8):e01240. doi: 10.1213/XAA.0000000000001240.
We performed the midpoint transverse process to pleura (MTP) block in a patient with a recurrent pleural effusion requiring medical thoracoscopy, drainage of pleural effusion, talc poudrage, and placement of tunneled pleural catheter under sedation while in the left lateral decubitus position. Forty milliliters of a combination of bupivacaine hydrochloride and lidocaine, with dexamethasone and clonidine as adjuvants, was injected at the T6 level under ultrasound guidance with satisfactory intra- and postoperative analgesia.
我们在一名复发性胸腔积液患者中进行了中点横突至胸膜（MTP）阻滞，该患者在镇静状态下处于左侧卧位，需要进行胸腔镜检查、胸腔积液引流、滑石粉喷洒和经皮胸腔导管置管。在超声引导下，T6 水平注射了 40 毫升布比卡因盐酸盐和利多卡因的混合物，加入地塞米松和可乐定作为佐剂，术中及术后镇痛效果满意。
