前锯肌平面阻滞作为儿童电视辅助胸腔镜手术的主要麻醉技术

Serratus Anterior Plane Block as a Primary Anesthetic Technique for Video-Assisted Thoracic Surgery in a Child.

作者信息

Vazquez-Colon Caroll N, Oke Ayodele, Rivera-Cintron Alberto, Lee Angela C

机构信息

Anesthesiology, Pain and Perioperative Medicine, Children's National Hospital/George Washington University, Washington DC, USA.

Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, USA.

出版信息

Cureus. 2021 May 27;13(5):e15283. doi: 10.7759/cureus.15283.

DOI:10.7759/cureus.15283

PMID:34194884

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8235998/

Abstract

Cystic fibrosis (CF) commonly affects those of European descent; however, it can also be found in those of Asian, African, and Caribbean descent. Patients with CF may have significant lung disease, and their perioperative management can be challenging for the anesthesiologist. In this case report, we describe the use of serratus anterior plane block (SAPB) and IV sedation as an alternative to general anesthesia with an endotracheal tube in a patient with CF pulmonary exacerbation presenting to the operating room for a video-assisted thoracic surgery (VATS).

摘要

囊性纤维化（CF）通常影响欧洲血统的人群；然而，在亚洲、非洲和加勒比血统的人群中也可发现该病。CF患者可能患有严重的肺部疾病，其围手术期管理对麻醉医生来说可能具有挑战性。在本病例报告中，我们描述了在一名因肺部病情加重而前往手术室进行电视辅助胸腔手术（VATS）的CF患者中，使用前锯肌平面阻滞（SAPB）和静脉镇静作为气管插管全身麻醉替代方案的情况。