Department of Cardiac Anaesthesia, CTC, AIIMS, New Delhi, India.
Ann Card Anaesth. 2021 Apr-Jun;24(2):263-265. doi: 10.4103/aca.ACA_105_19.
Pain emanating from pleurodesis is significantly distressing and presents an important management concern. Despite encouraging evidence on the application of fascial plane blocks for cardiothoracic surgery, the literature on the use of erector spinae block for pleurodesis remains scarce. We describe a case of bilateral recurrent pleural effusion following congenital heart surgery where erector spinae block was employed as an analgesic technique for pleurodesis. Finally, we discuss its regional analgesic effects in comparison to the conventional intravenous/systemic analgesia in a cross over fashion.
胸膜固定术后出现的疼痛非常令人痛苦,是一个重要的管理关注点。尽管筋膜平面阻滞在心胸外科手术中的应用有令人鼓舞的证据,但关于竖脊肌阻滞用于胸膜固定术的文献仍然很少。我们描述了一例先天性心脏病手术后双侧复发性胸腔积液的病例,其中竖脊肌阻滞被用作胸膜固定术的镇痛技术。最后,我们以交叉方式讨论了其与传统静脉/全身镇痛相比的区域镇痛效果。