Divisao de Anestesiologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
Clinics (Sao Paulo). 2021 Jan 20;76:e2170. doi: 10.6061/clinics/2021/e2170. eCollection 2021.
The practice of regional anesthesia is in a state of progressive evolution, mainly due to the advent of ultrasound as an anesthesiologist's instrument. Alternative techniques for postoperative analgesia of abdominal surgeries, such as transversus abdominis plane block, oblique subcostal transversus abdominis plane block, rectus abdominis muscle sheath block, ilioinguinal and iliohypogastric nerve block, and quadratus lumborum plane block, have proven useful, with good analgesic efficacy, especially when neuroaxial techniques (spinal anesthesia or epidural anesthesia) are not possible. This review discusses such blockades in detail, including the anatomical principles, indications, techniques, and potential complications.
区域麻醉的实践正在不断发展,主要是由于超声成为麻醉医师的一种仪器。腹部手术的术后镇痛的替代技术,如腹横肌平面阻滞、肋缘下横突平面阻滞、腹直肌鞘阻滞、髂腹股沟和髂腹下神经阻滞以及腰方肌平面阻滞,已被证明是有用的,具有良好的镇痛效果,特别是在无法进行神经轴技术(椎管内麻醉或硬膜外麻醉)时。本文详细讨论了这些阻滞技术,包括解剖学原理、适应证、技术和潜在并发症。