Diwan Sandeep, Nair Abhijit, Gawai Nitin, Shah Dipal, Sancheti Parag
Sancheti Hospital, Department of Anesthesiology, Pune, India.
Department of Anesthesiology, Ibra Hospital, Ibra, Oman.
Braz J Anesthesiol. 2023 Sep-Oct;73(5):689-694. doi: 10.1016/j.bjane.2021.04.015. Epub 2021 Apr 29.
In an attempt to improvise the analgesia in patients with femoral fractures, we aimed at depositing local anesthetic deep to anterior psoas fascia (APf) under ultrasound (US) guidance to block lumbar plexus elements which emerge lateral, anterior, and medial to the psoas major muscle. We termed this as circumpsoas block (CPB). Clinical and computed tomography contrast studies revealed that a continuous CPB infusion with a catheter provided a reliable block of the lumbar plexus elements. No adverse were events noted. We conclude that US guided CPB is a reliable technique for managing postoperative pain after surgery of femur fractures.
为了改进股骨骨折患者的镇痛效果，我们旨在在超声（US）引导下将局部麻醉剂注入腰大肌前筋膜（APf）深层，以阻滞在腰大肌外侧、前方和内侧穿出的腰丛神经分支。我们将此称为腰大肌周围阻滞（CPB）。临床和计算机断层扫描造影研究表明，通过导管持续输注CPB可可靠地阻滞腰丛神经分支。未观察到不良事件。我们得出结论，超声引导下的CPB是一种管理股骨骨折术后疼痛的可靠技术。
