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清醒状态下乳腺手术的前锯肌平面阻滞:病例报告。

Serratus Anterior Plane Block for Awake Breast Surgery: A Case Report.

机构信息

From the Department of Anesthesia, Unidade Local de Saúde Alto Minho, Viana do Castelo, Portugal.

出版信息

A A Pract. 2020 Dec;14(14):e01354. doi: 10.1213/XAA.0000000000001354.

DOI:10.1213/XAA.0000000000001354
PMID:33295745
Abstract

Thoracic fascial blocks have been included in multimodal analgesia for breast surgery. Fewer studies demonstrate its use as a regional anesthesia technique. The serratus anterior plane (SAP) block provides anesthesia to the lateral thoracic wall and the axilla, the surgical area of some breast surgeries, with a single injection.This article reports the use of the SAP block as an anesthetic technique for breast lumpectomy with axillary dissection ensuring good surgical conditions and patient safety.

摘要

胸壁筋膜阻滞已被纳入乳房手术的多模式镇痛中。较少的研究表明其可用作区域麻醉技术。胸肌前平面(SAP)阻滞通过单次注射为外侧胸壁和腋窝(一些乳房手术的手术区域)提供麻醉。本文报告了 SAP 阻滞作为腋窝解剖的乳房肿块切除术的麻醉技术的使用,以确保良好的手术条件和患者安全。

相似文献

1
Serratus Anterior Plane Block for Awake Breast Surgery: A Case Report.清醒状态下乳腺手术的前锯肌平面阻滞:病例报告。
A A Pract. 2020 Dec;14(14):e01354. doi: 10.1213/XAA.0000000000001354.
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The effect of serratus plane block performed under direct vision on postoperative pain in breast surgery.直视下单侧胸长神经阻滞对乳腺癌术后疼痛的影响
J Clin Anesth. 2016 Nov;34:427-31. doi: 10.1016/j.jclinane.2016.05.029. Epub 2016 Jun 16.
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Serratus anterior plane block combined with monitored anesthesia care for surgery of lateral side of breast -a case report.前锯肌平面阻滞联合监护麻醉在乳腺外侧手术中的应用——附 1 例报告。
Korean J Anesthesiol. 2019 Oct;72(5):500-503. doi: 10.4097/kja.d.18.00257. Epub 2019 Jan 9.
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Serratus Anterior Plane Block Combined with General Analgesia and Patient-Controlled Serratus Anterior Plane Block in Patients with Breast Cancer: A Randomized Control Trial.前锯肌平面阻滞联合全身镇痛与患者自控前锯肌平面阻滞在乳腺癌患者中的应用:一项随机对照试验。
Adv Ther. 2021 Jun;38(6):3444-3454. doi: 10.1007/s12325-021-01782-y. Epub 2021 May 22.
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Is the combination of interfascial plane blocks sufficient for awake breast cancer surgery? An observational, prospective, proof-of-concept study.筋膜平面阻滞联合应用是否足以满足清醒乳腺癌手术的需要?一项观察性、前瞻性、概念验证研究。
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Combination of thoracic blocks as a main anesthetic tecnique in modified radical mastectomy for patients with severe respiratory disease.对于患有严重呼吸系统疾病的患者,在改良根治性乳房切除术中,联合胸部阻滞作为主要麻醉技术。
Rev Esp Anestesiol Reanim (Engl Ed). 2019 Mar;66(3):157-162. doi: 10.1016/j.redar.2018.10.003. Epub 2018 Nov 30.
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The association of Serratus Anterior Plane blocks with postoperative opioid use and analgesia following simple lumpectomy: a retrospective cohort analysis.Serratus 前平面阻滞与单纯乳腺肿瘤切除术术后阿片类药物使用和镇痛的相关性:一项回顾性队列分析。
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<Editors' Choice> Efficacy of pectoral nerve block type-2 (Pecs II block) versus serratus plane block for postoperative analgesia in breast cancer surgery: a retrospective study.<编辑精选>胸长神经阻滞(Pecs II 阻滞)与前锯肌平面阻滞在乳腺癌手术后镇痛效果的比较:一项回顾性研究。
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Refining a great idea: the consolidation of PECS I, PECS II and serratus blocks into a single thoracic fascial plane block, the SAP block.完善一个伟大的想法:将PECS I、PECS II和前锯肌阻滞整合为单一的胸筋膜平面阻滞,即SAP阻滞。
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[Ultrasound-assisted approach to blocking the intercostal nerves in the mid-axillary line for non-reconstructive breast and axilla surgery].[超声辅助下在腋中线阻滞肋间神经用于非重建性乳房及腋窝手术]
Rev Esp Anestesiol Reanim. 2013 Aug-Sep;60(7):365-70. doi: 10.1016/j.redar.2013.04.002. Epub 2013 Jun 3.

引用本文的文献

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Fascial plane blocks as the main anesthetic method: A narrative review.以筋膜平面阻滞作为主要麻醉方法:一项叙述性综述。
Saudi J Anaesth. 2025 Apr-Jun;19(2):198-208. doi: 10.4103/sja.sja_844_24. Epub 2025 Mar 25.
2
Is the combination of interfascial plane blocks sufficient for awake breast cancer surgery? An observational, prospective, proof-of-concept study.筋膜平面阻滞联合应用是否足以满足清醒乳腺癌手术的需要?一项观察性、前瞻性、概念验证研究。
BMC Anesthesiol. 2024 Sep 20;24(1):337. doi: 10.1186/s12871-024-02725-0.
3
Awake Breast Surgery: A Systematic Review.
清醒乳房手术:系统评价。
In Vivo. 2023 Jul-Aug;37(4):1412-1422. doi: 10.21873/invivo.13225.
4
Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series.镇静下的前锯肌平面阻滞用于接受腋窝清扫术的患者:一项前瞻性病例系列研究。
Rev Col Bras Cir. 2023 Feb 6;50:e20233398. doi: 10.1590/0100-6991e-20233398-en. eCollection 2023.
5
Combined thoracic paravertebral block and interscalene brachial plexus block for modified radical mastectomy: A case report.胸椎旁神经阻滞联合肌间沟臂丛神经阻滞用于改良根治性乳房切除术:一例报告
World J Clin Cases. 2022 Jun 16;10(17):5741-5747. doi: 10.12998/wjcc.v10.i17.5741.