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开腹胆囊切除术后腹外斜肌神经导管的新用途。

The Novel Use of an External Oblique Nerve Catheter After Open Cholecystectomy.

作者信息

O'Donovan Brendan, Martin Brian

机构信息

Anesthesiology, University of Massachusetts Medical School-Baystate, Springfield, USA.

出版信息

Cureus. 2021 Feb 26;13(2):e13580. doi: 10.7759/cureus.13580.

DOI:10.7759/cureus.13580
PMID:33796423
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8005590/
Abstract

Open cholecystectomy is a painful procedure and requires a well-rounded multimodal approach for successful postoperative analgesia. A thoracic epidural is known to provide reliable pain relief for upper abdominal surgical procedures. However, in patients for whom an epidural is contraindicated, an alternative regional technique may be sought. This case discusses the novel use of an external oblique catheter after open cholecystectomy.

摘要

开腹胆囊切除术是一种痛苦的手术,需要全面的多模式方法才能实现成功的术后镇痛。众所周知,胸段硬膜外麻醉可为上腹部手术提供可靠的疼痛缓解。然而,对于硬膜外麻醉禁忌的患者,可能需要寻求替代的区域技术。本病例讨论了开腹胆囊切除术后腹外斜肌导管的新用途。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc3/8005590/26d6c074ff3a/cureus-0013-00000013580-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc3/8005590/b5b19a8a3db9/cureus-0013-00000013580-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc3/8005590/26d6c074ff3a/cureus-0013-00000013580-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc3/8005590/b5b19a8a3db9/cureus-0013-00000013580-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc3/8005590/26d6c074ff3a/cureus-0013-00000013580-i02.jpg

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本文引用的文献

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Similarities between external oblique fascial plane block and blockage of thoracoabdominal nerves through perichondral approach (TAPA).腹外斜肌筋膜平面阻滞与经软骨膜入路(TAPA)阻滞胸腹部神经之间的相似性。
J Clin Anesth. 2019 Nov;57:91-92. doi: 10.1016/j.jclinane.2019.03.027. Epub 2019 Mar 29.
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Comparison of Ultrasound-Guided Subcostal Transversus Abdominis Plane Block and Quadratus Lumborum Block in Laparoscopic Cholecystectomy: A Prospective, Randomized, Controlled Clinical Study.超声引导下肋下腹横肌平面阻滞与腰方肌阻滞在腹腔镜胆囊切除术中的比较:一项前瞻性、随机、对照临床研究
Pain Res Manag. 2019 Feb 3;2019:2815301. doi: 10.1155/2019/2815301. eCollection 2019.
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Opioid-Sparing Anesthesia for Open Total Pancreatectomy and Splenectomy Using the External Oblique Intercostal (EOI) Block: A Case Report.
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Cureus. 2025 Feb 10;17(2):e78815. doi: 10.7759/cureus.78815. eCollection 2025 Feb.
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Open Med (Wars). 2024 Dec 6;19(1):20241068. doi: 10.1515/med-2024-1068. eCollection 2024.
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